Registration Form - Westchester
Send form and check to: Musical Munchkins, PO Box 365, Tuckahoe, NY 10707 - 914-771-7000
PERSONAL INFORMATION
Parent's Name:
Caregiver's Name:
Home Phone:: Work Phone: Cell Phone:
E-Mail:
Address:
City: State: Zip:
CLASS SELECTION
1st Child's Name:
Birthdate:
Day:
Year:
1st Choice:  Music For:
Day:
Time:
Location:
Session:
2nd Choice: Music For:
Day:
Time:
Location:
Session:
2nd Child's Name:
Birthdate:
Day:
Year: