The Art of Music LLC

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- Holiday Sessions Sign-up
- 6-Week Sessions Sign-up
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- Yoga Sign-up
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Gift Certificates & Art Kits
Photo Gallery

Home
Our Team
Schedule
Art of Music Classes
- Holiday Sessions Sign-up
- 6-Week Sessions Sign-up
Summer Session
Kids Yoga
- Yoga Sign-up
News
Canvas Club
Canvas & Conversation
Team Building & Private Parties
Gift Certificates & Art Kits
Photo Gallery

If you have filled out this form before, participated in a session within the last year, and none of your information has changed, you do not need to fill out the form again to register. Just pay your registration fee or the deposit to register and reserve your spot!

Payment Information
Checks Paid to: The Art of Music LLC
Checks Mailed to: P.O. Box 168
Marysville, OH 43040-0168
or use PayPal Links Below
(PayPal charges an additional service fee. No additional fee for payments by mail.)

Yoga & Movement

*Processing fee is included.

Sign Up for Kids Yoga

* Indicates required field

Child's Name *

First

Last

Age *

Parent/Guardian's Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Child's Date of Birth *

Delaware County Case Manager (if applicable) *

Is your child enrolled in school? *

Yes No

If "Yes", Please Provide School Name & Grade Level *

Name of individuals who have permission to drop off/pick up child *

Only individuals whose names appear on this list will be permitted to transport your child. All individuals dropping off or picking up your child will be required to sign them in and out. Photo ID may be requested at any time by group facilitators.

Emergency Contacts (Include Relationship to Child and Phone Number) *

Do you plan to stay with your child during the sessions? *

Yes No

A participating Parent/Guardian is highly encouraged during all classes.

If "No", please provide a contact number where we may reach you (if necessary). *

Does your child have a disability/diagnosis? *

Yes No

If "Yes", please explain. *

Does your child have any serious behavior concerns we need to be aware of? *

Goals you have for your child(ren) for this session (i.e. cognitive, behavioral, social, etc.): *

2021 Winter Session Info

Yoga Classes for the next sessions are below. Please check any and all times that interest you. *

Thursdays, 6:00-6:45pm

How would you like us to contact you regarding class information? (Cell phone, text, email, home phone, etc.)? *

If inclement weather is an issue, our policy is to cancel class if there is a Level 2 weather emergency. A make-up class will then be rescheduled at the end of the session.

Payment Options *

Private Pay in full by Mail Private Pay $25 Deposit (Balance Due on 1st Day of Class) Paypal (Payment Links Above) PAS - from a Service Coordinator or Support Administrator DSACO (Individual with DS)

One of the options must be completed to secure your child's enrollment. Checks to be made out to "The Art of Music LLC" and mailed to: P.O. Box 168, Marysville, OH 43040

We like to take photos during our sessions. These photos are only for our records, the website, Facebook and/or promotional materials. Your child's name will NOT be used in any material. May I include your child in these photos? *

Yes No

How did you hear about our Yoga for Kids classes? *

Friend/Family/Word of Mouth School Facebook Google or Other Search Engine Children's Camp Expo Online Advertisement Other

If other, please specify. *

Any other comments/questions? *

Note: If inclement weather is an issue, our policy is to cancel class if there is a Level 2 weather emergency. We will then reschedule a makeup class at the end of the session.

Submit

129 Orangewick Dr. North
Lewis Center, Ohio 43035
937-645-7641
dawn@TheArtOfMusicLLC.com
(Don't forget the "LLC" in your emails!)

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West Liberty, Ohio