Kindermusik at Sweetpea Music Class Registration Please complete this form to register for your upcoming class. If you have any questions or issues during registration, please contact us: marybeth@sweetpeamusic.com

Parent Name *

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First *

Last *

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Student Name *

Mailing Address *

Street Address *

Address Line 2

City *

State / Province / Region *

Postal / Zip Code *

Country *

Student's Birthday *

MM / DD / YYYY

E-mail *

Phone Number *

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How did you hear about Kindermusik at Sweetpea Music?

Class Selection *

Choose a ClassMonday @ 10am | Mixed Ages| infants- age 5

Notes to Teacher