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(Submit this form to guarantee your spot)
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Student Name
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Birthday: mm /dd /yyyy /Age
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Gender
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Girl
Boy
Parent's Name(s)
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Email
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Mobile
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Home Phone
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Mailing Address (including city/zip)
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How did you hear about us?
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Select class(es) below.
This class will begin the week of March 19
Class Structure:
10 weeks
Class Length:
45 minutes weekly
Tuition:
$200 (Materials Excluded)
Wiggle & Grow (Ages 1-3)
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Saturday 10:00-10:45 am (Begins 03/19)
* Please bring your payment on the first day of the class.
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No refunds or credits will be given for missed classes.
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No refund will be available after 2nd class
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Class credit rollover to the next semester or school year is not an option.
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No photography or videotaping is allowed within the classrooms so as not to infringe upon the privacy of others.
* No food or drinks are allowed in the classroom
I release any and all rights and claims for damages against Mimi's Music Studio in the unlikely event
of injury sustained by myself
or my child as a result of this musical activity.
By submitting this form, you agree to the
class policies listed above
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