JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Kiddo and Caregiver Music Experience
Music Works Iowa is excited to offer a new Kiddo and Caregiver music experience. Toddlers and preschool-aged students will begin their musical journey with the support of a trusted adult, led by certified, experienced music educator (and toddler mom) Kelsey Legore. Each week we will explore the rich world of music using our voices, instruments, books, games, and movement. The Spring session’s theme will be Things that Go!
Please complete the following form to register. Please complete one form per kiddo.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Kiddo's name
*
Your answer
Kiddo's Age
Your answer
Parent/Legal Guardian's Name
Your answer
Parent/Legal Guardian's Address
Your answer
Parent/Legal Guardian's Email
Your answer
Parent/Legal Guardian's Phone
Your answer
Caregiver's name. This is the person that is coming to class. If same as parent, mark "same."
Your answer
Caregiver's phone.
Your answer
Have you taken classes at Music Works Iowa before?
Yes
No
Clear selection
Other Information (Known allergies, disabilities, etc)
Your answer
How did you hear about this class?
Social Media?
Poster?
Friend?
Other:
Clear selection
I understand that caregivers are expected to attend and participate in every class. A legal adult will attend with my kiddo for each class.
I understand
I do not understand. Please call
Clear selection
There are times that we may use a short video clip or photo/screen shot of students in class for promotional materials and/or to highlight their hard work. Under what circumstances are you comfortable with us sharing these photos?
I authorize Music Works Iowa to use photos and/or video of my student for promotional materials.
I authorize Music Works Iowa to use photos and/or video only if I view and authorize the photo/video beforehand.
I do not authorize Music Works Iowa to use photos and/or video of my student.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms