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's 11:00am class in La Costa with Allison and Kristin
Monday's 4:00pm Natalie in Encinitas
Tuesday's 10:30am Jenna's Santa Luz
Wednesday's 10:30am at Christina's in Del Sur
Thursday's 10:00am Cristy's Encinitas
Thursday's 4:30pm Ericka's Carmel Valley
Friday 10:30am Alison Rancho Santa Fe
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. Refunds only happen within the first two weeks of every session. A $15.00 processing fee will be charged for all 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!