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MR. MUSICMAN DALLAS

Music Entertainment-Education for Early Child Development!

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STUDENT ENROLLMENT FORM

Sign your child up for the Mr. MusicMan Class our form below!

Parent Name

Student Name

Email

Phone

School

Classroom

Enter Code

I do not want Mr. MusicMan to use any pictures or video of my child for marketing or social media purposes.

I hereby release and discharge Mr. Music Man Company, the childcare facility, and it’s members from all actions, claims, demands, injury or damage resulting from my child’s participation.

If I choose to dis-enroll my child, I understand that I must notify the Mr. MusicMan company via email and will be responsible for all month’s tuition owed prior to dis-enrollment.

You're Enrolled! We Will Email Your Invoice Soon!

MR. MUSICMAN COMPANY™

Email:

robert@mrmusicmancompany.com

(704) 460-8268

©Mr. MusicMan Company 2025

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