Munchkin Music Registration 2024-2025 - Form

Please complete this registration form to enroll your child (with accompanying adult) in this class. Open to the community! Munchkin Music meets on select Sunday morning from 10:00-11:00am. An accompanying adult is required.

* Please choose the number of children enrolling

* Child's First Name

* Child's Last Name

Child's Date of Birth (MM/DD/YYYY)

* Temple Shalom Member?

Please Select OneYesNo

* Number of Children Enrolled

Temple Shalom Member Child: $100/child

Non-Member Child: $200/child

* First Name of Adult Attending

* Last Name of Adult Attending

* Email

* Mobile

* Street Address

* City

* State

* Zip Code

* Temple Shalom Member?

Please Select OneYESNO

* Please tell us how you heard of this program.

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

Please Select OneYESNOPrivacy 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.

Munchkin Music Total Fee