Music & More at LOL - Enrollment Form
Spring 2020 Session - Preview/Make-Up Class on February 25th, 6 -7 pm
Tuesdays, 6:00 - 7:00 pm, March 3 - April 14 (no class March 17th) - 6 weeks for $85 - FULL
Fridays, 9:00-10:00 am, March 13, 20 & April 3, 10 - 4 weeks for $55

Ask about our 50% sibling discount!
Want more information about classes?  Check out our website!  https://www.sunflowermusictherapy.com/music-more
Sign in to Google to save your progress. Learn more
Choose from the following class options:
Child's Name *
Parent's First and Last Name(s) *
Child's Age *
Child's Date of Birth *
MM
/
DD
/
YYYY
Phone Number *
Permission to text? *
E-mail *
How did you find out about Music & More classes? (optional)
Photos or videos taken of my child(ren) and/or family members while in attendance at this class may be used in social media (i.e. Facebook), for marketing purposes, or in professional presentations.  (These photos or videos will not contain any identifying information about your child.) *
Sunflower Music Therapy shall be released of any and all liability in the unlikely event of injury sustained by myself, my child(ren), or assigned caregivers during the course as a result of activities in such classes.  I understand that it is my duty to inform any caregiver assigned to bring my child to class of such waiver. *
Cost and Payment Information
The 6-week, Tuesday night spring session is $85 per child.  The 4-week, Friday morning spring session is $55 per child*  Payment should be made to Laugh Out Loud Family Zone in the form of cash, check, or card.  Payment is due at the first class.  Class participants can come early or stay and play for 50% off the admission cost at LOL.  
*50% discount for one sibling
Class Location
Classes take place at Laugh Out Loud Family Zone*, 1000 Massachusetts St., Lawrence, KS (10th and Mass. Downtown).  Parking in the lower two levels of the parking garage on New Hampshire between 9th and 10th streets is free for 2 hours.  
*Socks are required for the free play portion of class.
Contact Information
Visit www.sunflowermusictherapy.com for more information about classes or contact Sarah Niileksela at sarah@sunflowermusictherapy.com or 785-424-0706 with any questions.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Sunflower Music Therapy. Report Abuse
Google Forms