Registration Form

Music for Little "Sparrows"

Name of Student *
Name of Student
Address *
Address
Parent/Guardian #1 Name *
Parent/Guardian #1 Name
Parent/Guardian #1 Phone *
Parent/Guardian #1 Phone
Parent/Guardian #2 Name
Parent/Guardian #2 Name
Parent/Guardian #2 Phone
Parent/Guardian #2 Phone
Dates of Class *

Lesson Dates (lesson dates are subject to change): Sept 7, 14, 21, 28  Oct 5, 12, 26  Nov 2, 9, 16, 30  Dec 7, 14, 21  Jan 4, 11