Parent's Name: ________________________________________
Home Phone: _________________ Business: _________________
1) Emergency Contact Person: ____________________________
2) Emergency Contact Person: ____________________________
Does your child have any health problems? Please list, including any allergies we should know about:
Please enclose cash or cheque made out to Let's Make Music for $125
The undersigned agrees that Let's Make Music and its proprietors will not be responsible for any accident or loss however caused and agrees to release Let's Make Msic and associated proprietors from all claims or damages which may arise as a result of or by any such accident or loss.