Cherry Blossoms’ Music Time

Registration Form—2008 

Parent Name:                                              E-mail Address:

Child’s Name:                                              Child’s DOB:

Address:

Phone Number(s):                    

How did you hear about our classes?_______________ 

Referred by:                                  Returning Student?

CLASS CHOICE: (Day/Time/Age)                                      

1rst choice:

2nd choice:

_______________________________________________________

I, ________________________, hereby release Claire Cherry, Cherry Blossoms Productions, LLC,  and the North Chevy Chase Christian Church from any and all liability that might be incurred relating to the meeting facility and/or the performance of services during the weekly “Music Time” classes.

•Signature and Date: __________________________

______________________________________________________________

Send signed registration form and check(payable to Cherry Blossoms Productions, LLC) to:  Cherry Blossoms' Productions,           1717 Woodwell Rd., Silver Spring, MD 20906.

QUESTIONS?  CALL 301-603-9627