Language of Music registration

Parents Name

First Name

Last Name

Participants Name

First Name

Last Name

Age

Street Addess

Email Address

Phone Number

(###)

###

####

Choose your week(s)

Musical Interests

What does your child love about music?

Important Information

Please let us know of any allergies, health, or social issues that we should be aware of so that we can make your child's Bits of Broadway experience as wonderful as possible. If there's nothing else we need to know, please state "none".

PLEASE NOTE:

Payment information will be included on this page once you register. We must receive your deposit of within ten days of submitting your registration in order to save your spot. Your balance is due by July 1st. No refunds will be given after July 1st.