Rhythm Kids Registration

Parent/Caregiver 1 Name*
First Last
Parent/Caregiver 1 Email*
Enter Email Confirm Email
Parent/Caregiver 1 Cell Phone*
Texting*
- YES, the School may send texts to this number.
- NO, I do not want to receive texts on this number.
Parent/Caregiver 2 Name*
Please enter "N/A" in both fields if not applicable.
First Last
Parent/Caregiver 2 Email
Enter Email Confirm Email
Parent/Caregiver 2 Cell Phone
Texting
- YES, the School may send texts to this number.
- NO, I do not want to receive texts on this number.
Address*
Street Address City State ZIP Code
Student 1 name*
First Last
Student 1 Date of Birth*
A reminder that students must be between 5-8 years of age to participate in Rhythm Kids.
Student 2 name
First Last
Student 2 Date of Birth*
A reminder that students must be between 5-8 years of age to participate in Rhythm Kids.
Student #2 Quantity
Please add a "1" if registering a sibling. Otherwise leave blank.
Price: $160.00
Class Choice*
At this time, only one Rhythm Kids class is offered each session.
- Wednesday 4:30 PM (Worcester: Emanuel Lutheran Church)

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