Music and Mud Registration Form
415.425.0372 * charity@jamjamjam.com * www.jamjamjam.com
 
Welcom to Music and Mud! If you have not previous registered your child for a JAM class or camp, please fill out the form below. Thank you. We look forward to JAMming with you!

Class Information

Please select your class day and time *

Student Information

Child #1:

Child #2:

Parent/Guardian/Emergency Contact Information

Parent/Guardian #1:

Parent/Guardian #2:

Please provide one ADDITIONAL emergency contact:

Lastly...

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