LMM July Classes in the Park

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(If you were enrolled in the June classes, you don't need to fill out this whole form. Just send me an email to tell me to sign you back up!)

Child's Name *

Child's Age *

Parent(s)'s Name(s) *

Email *

Phone Number *

Additional Children and Ages

Please Choose a Class Option: (all classes run 4 weeks) *

Babies Class (newborn through non-walkers) Thursday 9:00-9:30 AM at Cullen Park ($40)

Multi-Age Class Wednesday 9:45-10:30 AM at Cullen Park. FULL...TAKE BACK-UP SPOT

Multi-Age Class Thursday 9:45-10:30 AM at Cullen Park ($50 per child, additional siblings 1/2 price, siblings under 1 free)

Virtual Multi-Age Class Thursday 11:15 via Zoom

Instrument Kits: 1 instrument kit of 2 shaker eggs, 2 scarves, and 2 rhythm sticks comes with each registration. *

I have all of the materials from past sessions. Please take $5 off of my registration cost.

I will only need the 1 kit that comes with each registration.

Please add 1 additional material kit to my registration. ($5)

Please add 2 additional material kits to my registration. ($10)

Please add 3 additional material kits to my registration. ($15)

Payment: After you register, you will be send an invoice within a few days. *

I will pay cash or check.

I will pay via Venmo.

I will pay via PayPal.

If you are new, how did you hear about this program? (I love to be able to give a discount to others for referring these classes to their friends!)

Additional Comments:

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