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Registration Form
PARENT INFORMATION:
Name:
Address: Street
City
State
Zip
Phone Number
Email Address:
CHILD'S INFORMATION:
Child:
Birth:
Child:
Birth
Child:
Birth:
Note : 10% discount offered for siblings or for a second class
Classes (in order by preference)
Day:
Time
Day:
Time
Day:
Time
Day:
Time
Payment Method
Cash:
Check:
Credit Card :
Credit Card Expiration:
Policies and Procedure :
I have read and accept the
Policies
of Musical Chairs
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