Ashley's Musik Kids
Ashley's Musikids REGISTRATION
You can register here for ANY Ashley's Musikids class.
Parent Name(s)*
Address/Zip
Email*
Phone
Cell Phone
Referred by
Pls put the location or the person's name who is hosting the class.
Thank you! Questions? Call Ashley 858 205 8374
Tuition Investment
Amount

amount of weeks varies by location

Child's Name(s)
Date of birth
Allergies
Session * Monday morning music class at Gina’s in Cardiff by the sea!
Tuesday morning music class at Tita’s in South Encinitas!
Wednesday morning music class at Christina’s in Del Sur
Thursday afternoon music class at Ericka’s in Carmel Valley.
Waiver

I the undersigned,intending to be legally bound,do hereby for myself, family, guardian, charge/charges, heirs, executors, and administrators,waive and release any and all rights and claims for damages which I/we may have against, AshleysMusiKids, Carol Ann Ashley Birtwell, the Host of this music class and their home, and any other Educators,teaching this program,their representatives,successors and employees for any injuries I/we may suffer in connection with my/our participation in this program. At various times, AshleysMusiKids,may videotape and/ or photograph events to be submitted to the local media,or used on the Ashleys MusiKids website, or Facebook page, ?Ashleysmusikidshooray!?. By entering into the Ashleys Musikids Program, I/ we hereby authorize Ashleysmusikids, to reproduce copy,exhibit,publish,broadcast or distribute any and all such photographs or multi media. I have read the above, and understand the rules and regulations for participation in this Musikid Music Class, and the Ashleysmusikids Program. No refunds, makeups must be done within the session you registered for and made payment for, unless otherwise cleared with your Educator.*
I have read and accept the above waiver.*

Parent/Guardian Signature*

* required

No refunds will be issued after the second week of the session.
THANK YOU!