Baby class on Wednesday January 11 to April 5 from 11:30 am to 12:00 pm $192.00 Parents and caregivers are guided through a selection of traditional rhymes, songs and movement games that encourages “one-on-one” interaction with your baby and provides a warm and happy beginning to the world of music. Class Length: 30 min. | Child (0-12 months) + Parent/Caregiver Student Name Date of Birth ---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember ---01020304050607080910111213141516171819202122232425262728293031 ---20222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000 Parent or Guardian Name Contact Number Email Billing Address How did you hear about us? ---Referral / Work of MonthInternetFlyerWalk by Comment (optional) I understand that My Musical Upbringing collects my name, email so I can be contacted. I understand that I can withdraw my consent at any time. Your email address is confidential and will never be shared with third-parties. I hereby understand and agree that My Musical Upbringing has permission to photograph and videotape the registered student and to reproduce such photographs and video for the use of the studio. No names will be posted with photos without additional permission. I confirm that I have read, consent and agree to My Musical Upbringing studio policies.