WEDNESDAY 11:30AM SUMMER 2025 'LOTUS' Registration & Liability Waiver

Musikgarten and More Boca, LLC

Wednesday 11:30AM

'LOTUS' West Boca

Summer 2025
REGISTRATION
Parent Name*

First NameLast Name
Phone*
Email address*
example@example.com
Child(ren) Name(s)*
Child(ren) DOB(s)*
Preferred Payment Method (Credit Card . Zelle . Venmo) • Please specify the name on the payment method, ie: maiden name vs married or spouses account*
Instagram Handle (please put N/A if you do not have an Instagram account or do not wish to be tagged in posts)*
LIABILITY & COVID WAIVER

WAIVER/ASSUMPTION OF RISK:
All families who are enrolled in Musikgarten and More Boca, LLC are agreeing to these terms and condotions.

By my signature below, I understand the instructor and location assume no responsibility for injuries or illnesses which I may sustain as a result of my physical condition or resulting from participation in a class. I hereby release and discharge the instructor and the facility from any and all claims for injury, illness, death, loss or damage, which may result from my participation in activities at this location.
PHOTOGRAPHY/VIDEOGRAPHY RELEASE:
I give my consent for images (photographs, video) of myself to be taken and used to document the activities of Musikgarten and More Boca, LLC. I grant Musikgarten and More Boca, LLC permission to use the images for educational and promotional purposes. By signing below, I agree that I have read and agree to the terms and conditions stated above.

**I understand that if I do not want images of myself or my child to be used, I will indicate this by checking the “I DECLINE” box below AND notifying Jessica King during the first class.
I DO NOT want photos of myself or child to be used for promotional or educational purposes.

I DECLINE
SOCIAL MEDIA & ONLINE CONDUCT AGREEMENT:
By participating with Musikgarten and More Boca, LLC’s activities, services, or events, you agree to maintain respectful communication and refrain from posting defamatory, false, or misleading content about Musikgarten and More Boca, LLC, its owners, employees, or affiliated programs on social media or any other public platform.

If you have concerns or feedback, you are encouraged to address them directly with management to resolve any issues promptly and constructively.

Violation of this agreement may result in appropriate legal action, including but not limited to seeking damages for reputational harm caused by false or disparaging statements.

By signing below, you acknowledge and agree to these terms as a condition of participation in Musikgarten and More Boca, LLC’s services/classes.
ADDITIONAL INFORMATION:
• All fees are earned when session begins and are non-refundable

• Classes are non-transferable

• Session includes any/all classes you can attend. No makeups available. If class must be canceled due to heavy rain/thunder/lightning/tropical storm/hurricane/act of God, a custom virtual class link will be recorded and sent via email.

• 'Trials or Drop-ins' are only available for friends or family of a paid student who are visiting and want to attend class with their little ones: a la carte fee is $40.

• $17.50 sibling fee for any child attending with a paid student over the age of 6 months

• Prior to attending your first class the 'Liability & Covid Waiver' MUST be completed and submitted by a parent and/or a legal guardian to participate.

By initialing I acknowledge that I have read and understand the paragraph(s) above:
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Date*

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Emergency Contact Name
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Credit Card Payment Option

Summer 2025 Musikgarten and More Boca Class at Lotus6 Summer Classes of music and movement fun. Pay with credit card (3% convince fee added) or via ZELLE or VENMO ($210).

$216.30 Quantity

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

REGISTRATION

LIABILITY & COVID WAIVER

PHOTOGRAPHY/VIDEOGRAPHY RELEASE:

SOCIAL MEDIA & ONLINE CONDUCT AGREEMENT:

ADDITIONAL INFORMATION: