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Music To My Ears
Kids' Music Show Registration Form

Parent's Name(s):                                                                 


City:                                 State:              Zip Code:             

Home: (     )              Work: (     )              Cell: (     )            

Email Address:                                                                      

How did you hear about us?                                                  

Child's Name:                             Birth date:       /       /        

Party Date:     /       /        Music Show Start Time:              

Party Location:                                                                      


City:                                 State:            Zip Code:                 

$100 Deposit* (Returned checks will incur a $25 fee)     

*Non-refundable Deposit is required to reserve party date.
 Balance due at time of party (cash or check).

Print this registration form & Send deposit check to: Music To My Ears, LLC
PO Box 1028, Belle Mead, NJ 08502
Please call 908-874-5300 to confirm scheduling before sending in form.

Copyright 2012 Music To My Ears, LLC