Summer Form 2022

* Indicates required field

Your Name *

First

Last

Child/Children's names (put multiple names in the box if you are bring more than once child) *

First

Last

Email *

Phone Number *

Liability Release *

By checking I agree to release Soquel Ross and Nimble Notes Musikgarten, as well as any facility where a class or event is held from all liability, costs and damages which arise from participation in Nimble Notes Music Classes. I agree to accept financial responsibility for the costs related to emergency treatment and give my confirmation of the same.

Media Release *

By checking I agree that Nimble Notes may use pictures & other media of me & my child/children for promotional purposes. (Names are never included)

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