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Allergies / Medications (state reaction and treatment)
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Other Medical Situations / Doctor / Phone
I certify that my child is up to date on all his immunizations.
RELEASE: I hereby for myself, my child, my heirs and executors, waive and release any
and all rights and claims for damages that I may have at any time against KIDS U Musikschule, its agents and representatives for any injury or damages that may be suffered buy me or my child in connection with my association with KIDS U Musikschule. I understand that Preschool enrollment is for a full year ( 2 semesters) and I am responsible for the full year fees. This completed form must be accompanied by a $60 non-refundable deposit fee which will be credited toward your tuition costs.
