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Please read the Studio Group Class Policies before enrolling.

After completing this form you will be directed to choose your class with your preferred day and time.

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Parent's First Name *

Parent's Last Name *

Child's First & Last Name *

Child's Birthdate *

Email *

Phone *

Alternate Contact Phone

MEDIA RELEASE: Permission is hereby granted for Miss Jane’s Music Studio to take photographs, videos and recordings of classes and performances for use on websites, posters, print & online advertising and other promotional materials the studio creates. Children will not be identified by name in any materials. PLEASE CHECK BOX *

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Miss Jane's Music Studio

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Music Studio

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