Mommy & Me form

Mommy & Me form

Join our Mommy and Me Music Class in Manalapan, NJ! Fun, interactive parent-child sessions for ages 1–4 with singing, dancing, and instruments. Build rhythm, language, and social skills while bonding through music.

Child info

First Name

Last Name

Age

Parent/Guardian Info

First Name

Last Name

Phone

(###)

###

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Email

Emergency Contact

First Name

Last Name

Phone

(###)

###

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How did you hear about us?

Permissions

I allow photos for promotional use.

Acknowledgment

By submitting the registration form, I confirm that I have read, understood, and agree to the terms of this Music Camp Waiver & Release of Liability. I certify that I am the legal parent/guardian of the camper named in the registration.

Mommy & Me Release of Liability