Munchkin Music · Temple Shalom Dallas

Munchkin Music Registration 2023-2024

Please complete this Munchkin Music registration form to enroll your child (with accompanying parent) in this class. Open to the community!

Children Attending(Required)

Please click the + sign to add additional children-one child per line.

First Name

Last Name

Date of Birth

Temple Shalom Member? Yes/No

Parent/Guardian Attending(Required)

First Last

Address(Required)

Street Address/Apt City State Zip Code

Mobile Phone(Required)

Parent/Guardian Email(Required)

Please tell us how you heard of this program.(Required)

I am a Temple Shalom member.

Temple Shalom Facebook Groups

Temple Shalom Website

Temple Shalom Newsletter

Temple Shalom Religious School Newsletter

Friend/Family Member

Other Facebook Page/Group

Texas Jewish Post

Other

Please indicate the name of this friend/family.(Required)

Please indicate the name of the Facebook Page/Group.(Required)

Please indicate how you heard of this event.(Required)

Photo Release--I consent to the use of images of anyone in our party as described below.(Required)

Privacy and Use of Images Families may be photographed or videotaped as they participate in Temple activities, or they may be recorded in Temple Shalom video stream programs. On occasion, these images, and the identity of the persons depicted, may be used by Temple Shalom for educational, instructional, development and/or informational purposes in print, internet and digital media, including in news releases (e.g, Texas Jewish Post) and/or printed publications or materials, electronic publications, or websites. Temple Shalom will not sell images of Temple Shalom members or non-members or their families to third parties, and it will not use their images for promotional or advertising purposes that do not concern Temple Shalom and its programs.

$100/Temple Shalom Member Child

Munchkin Music meets monthly on select Sunday mornings from 10:00-11:00am. Parental attendance is required. $100/member child with parent/guardian. Please indicate the number of children registering.

Price: $100.00

$200/Non-Member Child

Munchkin Music meets monthly on select Sunday mornings from 10:00-11:00am. Parental attendance is required. $200/child with parent/guardian. Please indicate the number of children registering.

Price: $200.00

Total

CAPTCHA