cadenza kids - Kids Class Registration

Today's Date: *

MM

DD

YYYY

Which class time would you prefer?

Fridays at 10:15am

WAITLIST for Saturdays at 10:00am

Student's First and Last Name: *

First Name

Last Name

Student's Date of Birth: *

MM

DD

YYYY

Caregiver's Name *

First Name

Last Name

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Phone: *

(###)

###

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Alternative Contact's First and Last Name:

First Name

Last Name

Alternative Contact Phone:

(###)

###

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Do you grant Cadenza Music permission to share images/recordings of your student and yourself in Cadenza Kids promotional materials such as social media posts, official website, ads and flyers? *

No names or any personal information will be shared.

Yes

No

Please email me about events and promotions: *

Yes

No