cadenza kids - Toddler & Baby Class Registration

Today's Date: *

MM

DD

YYYY

Student's First and Last Name: *

First Name

Last Name

Student's Date of Birth: *

MM

DD

YYYY

First and Last Name: *

First Name

Last Name

Mailing Address: *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Phone: *

(###)

###

####

First and Last Name:

First Name

Last Name

Phone:

(###)

###

####

Do you grant Cadenza Music permission to use 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 other personal information will be shared.

Yes

No

Please email me about events and promotions: *

Yes

No