Art Class
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Children's Name and Ages (List all children)
Parents/ Guardian Name and Phone Number
Email Address
Does anyone have food allergies or needs accommodations. if so, what?
Emergency Contact ( Name and Phone Number)
Date I wish to attend.
I consent to allow my child and myself to be included in photos taken during this activity that may be used for Tiny Notes Music and Movement LLC media accounts and marketing
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I understand that I must pre-register and pre-pay. A square invoice will be sent to the email above.  We will be unable to refund for any reason.
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I understand that an adult must be with my child at all times and that Tiny Notes is not responsible for watching my child.
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Waiver and Release of Liability:                                  I agree that this Waiver and Release of Liability shall apply to each day I am at Tiny Notes Music and Movement LLC, regardless of the date that this form is signed below. I agree I will assume the risk and full responsibility for any and all injuries, losses, or damages, that might occur to my child or other family members while on the premises of Tiny Notes Music and Movement LLC or participating in any on-site and/or off-site program or activity; to the maximum extent of the law, I agree to waive and release any and all claims, suits, or related causes of action against Tiny Notes Music and Movement LLC, their owners, officers, employees or agents for injury, loss, death, costs or other damages to me, my heirs or assigns, or third party claims, suits or related causes of action asserted against the program arising from my conduct and/or my family’s conduct while participating in Tiny Notes Music and Movement LLC programs or activities. I further agree to release, indemnify, defend and hold Tiny Notes Music and Movement LLC  harmless from any liability whatsoever for future claims presented by my child for any injuries, losses or damages. I also give Tiny Notes Music and Movement LLC consent to seek and accept medical treatment for my child.
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Thank you for joining Tiny Notes Music and Movement LLC. By typing your full name below and submitting this form you are verifying that all of the submitted information above is true and that you are the parent or legal guardian authorized to grant permission for the child to participate.
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