LET'S MAKE MUSIC SCHOOL
Classes held at Carmel Mtn Ranch/Sabre Springs Rec Center
10152 Rancho Carmel Dr. San Diego, CA 92128    858-538-8100

In addition to the Rec Center forms, this form is required for ALL NEW   STUDENTS. Please give this form to the teachers.

Today's Date____________ New____ Alumni_____

Parent's Name(s)_________________________________________________________________

Address_______________________________________________________CITY/ZIP______________

Phone: Day (work/home?)______________________Evening(work/home?)____________________

#1 Child’s Name_________________________Birthdate________________Exact age when class begins:_____

#2 Child’s Name_________________________Birthdate________________Exact age when class begins:_____

#3 Child’s Name_________________________Birthdate________________Exact age when class begins:_____

Adult (other than parent) that will normally bring Child to Class:

Name:_____________________________ Relationship to Child:____________________________________

Address_____________________________________ City/Zip____________________________________

Day Phone____________________________ Evening Phone______________________________________

In order to keep costs down, all announcements will be sent by e-mail (or occasionally telephone). Please provide an e-mail address so that we can contact you about class changes, special events, etc. Without an e-mail address, you will need to call us or check our website for further information. We will never sell or give out your e-mail for any reason to any other party.

PLEASE PRINT your e-mail address clearly.
If your e-mail address changes, please send us an update: LMMS@juno.com

E-Mail address:_________________________________________________________________________

How did you find us? 1. Internet__which site?____________________2. Walk by:_____ 3. School Flyer______which school?_____________

4. Rec Center Flyer_______ 5. Referral__WHO?________________________ 6. OTHER:________________


I understand that the Recreation Center handles all funds and that there are no cancellations or credits (unless class is canceled)

I, being the parent/guardian of___________________, hereby consent that the group videotapes, photographs, motion pictures, electronic images and/or audio recording of a class including my child/dependent and any adult accompanying and participating in class with him/her may be used by Let's Make Music School for Public Relations and Publicity purposes without any use of child's/parent's names. I understand that such items shall be the property of Let's Make Music School.

Parent Signature:___________________________________________DATE:________Clearly Print Name__________________________________

mailing address: 13805 Paseo Cevera San Diego, CA 92129-2705
LMMS@juno.com    www.LetsMakeMusicSchool.com
Teacher phone/fax: 858-484-2287