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, Guest!Wednesday, March 10, 2010A Non-Profit Organization



Our Mailing Address:
1747 Tidewell Trace
Lawrenceville, GA 30043

Our Phone: 404.353.8621

Our E-Mail: info(at)musictimelearning(dot)org


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MTLC Class Registration


Please complete the form below and submit it along with your payment. You will receive a confirmation email from us stating that your registration has been received.

NOTE: Required fields are noted with an *.
 
Class You Are Registering For:
* (Click here to view class list)
Child:
First Name *
Last Name *
Age *
Date of Birth (mm/dd/yyyy) *
Grade *

Parent/Guardian:

First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Cell Phone
Home Phone *
E-mail *
 
Media release with child's name and parent/guardian "signature":
 
It is my understanding that these photos may be used for public viewing on MTLC's promotional materials such as websites, brochures, posters and annual reports. I agree to release these pictures without financial remuneration and I understand that this releases Music Time Learning Center and its instructors from any future claims and liability arising from the use of said photograph(s).

  I give permission to Music Time Learning Center, Inc. to photograph my child
  I do not give permission to Music Time Learning Center, Inc. to photograph my child

Now offering Beginning Band  and Orchestra lessons!
 


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