Register for All Around This World ***To register for Mt. Airy "All Around This World" classes, don't use this form. Instead, click here.*** Thanks for registering for All Around This World! Please check out the class schedule then fill out and submit the form below. Jay will contact you as soon as possible with payment details. If you have questions about this form or you submit it and don't hear from Jay in a couple days, please call or e-mail him. (Required fields are shown in bold.) Child's name and birthdate (you can list multiple children): Parent name(s): Caregiver name (if attending): Your primary email address: You must enter a valid e-mail address or the form will appear to work but Jay won't receive your registration. Your secondary email address (used to contact you if the primary one bounces): Your mailing address: Your primary phone number (indicate if it's a cell): Your secondary phone number (indicate if it's a cell): First choice of class day/time (check out the class schedule): Second choice of class day/time (recommended): Enter any comments or additional information here: This form and its FormMail supplied by www.tectite.com.

Jay also teaches SALLY'S MUSIC CIRCLE classes in West Philly and children's music classes at the University City Arts League.

Questions? Contact Jay.
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