Musical Munchkins Registration - Form - Kol Shalom

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Musical Munchkins Registration

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Thursdays, February 2 to March 30, 2022 (skip February 16)
10:15 am - 10:55 am

* Child's First Name

* Child's Last Name

* Child's Date of Birth

* Age

* First Name of Accompanying Adult

* Last Name of Accompanying Adult

* Accompanying Adult's Phone Number:

* Accompanying Adult's Email Address:

* Parent's Names

* Parent's Email Address:

Special requests or pertinent information to share:

Photo Authorization:
I hereby give permission to Kol Shalom to use photos of my child/children taken at Musical Munchkins in promotional publicity and ads.

Photo Authorization

Sign and Date

Member Status

Select Option to see rates

Wed, March 22 2023 29 Adar 5783

Kol Shalom

9110 Darnestown Road, Rockville, MD 20850 | (301) 309-9110

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