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Music To My Ears 
Kids' Music Show Registration Form

Parent's Name(s):                                                                 

Address:                                                                                

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:                                                                      

Address:                                                                                

City:                                 State:            Zip Code:                 

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

*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.
 


 
 

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Copyright 2009 Music To My Ears, LLC