Musical Munchkins Registration

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Thursdays October 27 to December 15, 2022 (skip November 24)
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

Drop in class

Drop in class 10/27Drop in class 11/03Please only select this option if you are taking a trial class

Thu, February 2 2023 11 Shevat 5783