Registration Form

Please fill out the following form to register for your desired course.

Once this form has been submitted there will be a link to register for your course through eventbright.

Please complete the form below

Parents Name

First Name

Last Name

Email Address

Phone Number

(###)

###

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Child 1 Name

First Name

Last Name

Child 1 Age

Child 2 Name

First Name

Last Name

Child 2 Age

Child 3 Name

First Name

Last Name

Child 3 Age

Potential allergies or special educational considerations

Accompanying Adult Name

First Name

Last Name

Accompanying Adult Email

Accompanying Adult Phone

(###)

###

####

Alternative Emergency Contact

First Name

Last Name

Relationship

Emergency Contact Email

Emergency Contact Phone

(###)

###

####

Please Confirm your Desired Program

Photo Release Agreement

I hereby grant permission to (Bright and Beaming Music ) to use photographs and/or video of me and my child in publications, news releases, online, and in other communications related to the mission of (Bright and Beaming Music).

Yes

No