Parent Name *

First Name

Last Name

Child Name (1)

First Name

Last Name

DOB *

MM

DD

YYYY

Child Name (2)

If multiple siblings

First Name

Last Name

DOB

MM

DD

YYYY

Lesson Type *

Singing Group (2 Kids)

Singing Group (3 Kids)

Singing Group (4-5 Kids)

Piano Group (3 Kids)

Piano Group (4-5 kids)

Guitar Group (2 Kids)

Guitar Group (3 Kids)

Guitar Group (4-5 Kids)

Ukulele Group (2 Kids)

Ukulele Group (3 Kids)

Ukulele Group (4-5 Kids)