Summer 2018 Registration
We are very excited to have you joining us for Summer Semester at The Music Factory! When you click "Continue" below, you will automatically be taken to PayPal to submit your registration deposit. THE DEPOSIT IS REQUIRED TO PROCESS YOUR REGISTRATION. In 7-10 days, you will receive an invoice by email with your balance due, reflecting this deposit, materials, registration fees ($20 for new families, $10 for returning families), referral bonuses, and sibling discounts.
Parent's First & Last Name:
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Address Line 1:
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Address Line 2:
City, State, ZIP:
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Email Address:
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Phone Number:
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Alternate Phone Number:
How many children will you be registering for classes?
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One
Two
Three
Four
Child's First & Last Name:
Child's Age (Years and Months):
Child's Birth Date:
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Month
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Day
Year
Date Picker Icon
Select Summer Semester Class:
Bouncing Babies - Birth to 16 months
Wandering Walkers - 15 to 28 months
Jaunty Jumpers - 29 months to 3 ½ years
Walkers/Jumpers Combo - 15 months to 3 ½ years
Precocious Preschoolers (music only) - 3 ½ to 5 years
Precocious Preschoolers CAMP - 3 ½ to 5 years
Music Makers CAMP - 6 to 9 years
Keyboard, Year One - 6-10 years
Keyboard, Year Two - 7-10 years
Keyboard CAMP - 6-10 years
Introduction to the Harp - 7 years and up
Music Composition - 6 years and up
Private Piano Lessons
Private Voice Lessons
Private Harp Lessons
Private Flute Lessons
Piano Partner Lessons
Select Materials:
Hard Copy CD & Family Kit
Digital Download Music & Family Kit
List any allergies, special needs, or medical issues of which the teacher should be aware:
Second Child's First & Last Name:
Second Child's Age (Years & Months):
Second Child's Birth Date:
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Month
-
Day
Year
Date Picker Icon
Select Summer Semester Class for Second Child:
Bouncing Babies - Birth to 16 months
Wandering Walkers - 15 to 28 months
Jaunty Jumpers - 29 months to 3 ½ years
Walkers/Jumpers Combo - 15 months to 3 ½ years
Precocious Preschoolers (music only) - 3 ½ to 5 years
Precocious Preschoolers CAMP - 3 ½ to 5 years
Music Makers CAMP - 6 to 9 years
Keyboard, Year One - 6-10 years
Keyboard, Year Two - 7-10 years
Keyboard CAMP - 6-10 years
Introduction to the Harp - 7 years and up
Music Composition - 6 years and up
Private Piano Lessons
Private Voice Lessons
Private Harp Lessons
Private Flute Lessons
Piano Partner Lessons
Select Materials for Second Child:
Hard Copy CD & Family Kit
Digital Download Music & Family Kit
List any allergies, special needs, or medical issues of which the teacher should be aware:
Third Child's First & Last Name:
Third Child's Age (Years & Months):
Third Child's Birth Date:
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Month
-
Day
Year
Date Picker Icon
Select Summer Semester Class for Third Child:
Bouncing Babies - Birth to 16 months
Wandering Walkers - 15 to 28 months
Jaunty Jumpers - 29 months to 3 ½ years
Walkers/Jumpers Combo - 15 months to 3 ½ years
Precocious Preschoolers (music only) - 3 ½ to 5 years
Precocious Preschoolers CAMP - 3 ½ to 5 years
Music Makers CAMP - 6 to 9 years
Keyboard, Year One - 6-10 years
Keyboard, Year Two - 7-10 years
Keyboard CAMP - 6-10 years
Introduction to the Harp - 7 years and up
Music Composition - 6 years and up
Private Piano Lessons
Private Voice Lessons
Private Harp Lessons
Private Flute Lessons
Piano Partner Lessons
Select Materials for Third Child:
Hard Copy CD & Family Kit
Digital Download Music & Family Kit
List any allergies, special needs, or medical issues of which the teacher should be aware:
Fourth Child's First & Last Name:
Fourth Child's Age (Years & Months):
Fourth Child's Birth Date:
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Month
-
Day
Year
Date Picker Icon
Select Summer Semester Class for Fourth Child:
Bouncing Babies - Birth to 16 months
Wandering Walkers - 15 to 28 months
Jaunty Jumpers - 29 months to 3 ½ years
Walkers/Jumpers Combo - 15 months to 3 ½ years
Precocious Preschoolers (music only) - 3 ½ to 5 years
Precocious Preschoolers CAMP - 3 ½ to 5 years
Music Makers CAMP - 6 to 9 years
Keyboard, Year One - 6-10 years
Keyboard, Year Two - 7-10 years
Keyboard CAMP - 6-10 years
Music Composition - 6 years and up
Private Piano Lessons
Private Voice Lessons
Private Harp Lessons
Private Flute Lessons
Piano Partner Lessons
Select Materials for Fourth Child:
Hard Copy CD & Family Kit
Digital Download Music & Family Kit
List any allergies, special needs, or medical issues of which the teacher should be aware:
Preferred Day and Time for Babies Class:
Monday, 4:45-5:15 pm - with Deirdre
Tuesday, 10:15-10:45 am - with Devon
Wednesday, 11:10-11:40 am - with Bethany
Preferred Day and Time for Walkers Class:
Monday, 6:00-6:30 pm - with Devon
Tuesday, 9:30-10:00 am - with Devon
Wednesday, 10:25-10:55 am - with Bethany
Wednesday, 5:00-5:30 pm - with Deirdre
Thursday, 10:25-10:55 am - with Deirdre
Preferred Day and Time for Jumpers Class:
Tuesday, 11:00-11:40 am - with Devon
Wednesday, 5:45-6:25 pm - with Deirdre
Thursday, 9:30-10:10 - with Deirdre
Preferred Day and Time for Walkers/Jumpers Combo Class:
Wednesday, 5:30-6:10 - with Deirdre
Preferred Day and Time for Precocious Preschoolers CAMP:
Tuesday, 9:30-11:45 - with Tracey & Abby
Wednesday, 9:30-11:45 - with Tracey & Abby
Preferred Day and Time for Precocious Preschoolers class (music only):
Preferred Day and Time for Music Makers CAMP:
Tuesday, 9:30-12:00 - with Tracey & Abby
Wednesday, 9:30-12:00 - with Tracey & Abby
Preferred Day and Time for Keyboard, Year 1 class:
Monday, 5:45-6:45 pm - with Deirdre
Thursday, 4:15-5:15 pm - with Deirdre
Preferred Day and Time for Keyboard, Year 2 class:
Thursday, 5:45-6:45 pm - with Deirdre
Preferred Day and Time for Keyboard CAMP:
Preferred Day and Time for Music Composition class:
Thursday, 3:15-4:00 pm - with Devon
What days and times are you available for lessons?
Monday afternoon
Monday evening
Tuesday morning
Tuesday afternoon
Tuesday evening
Wednesday morning
Wednesday afternoon
Wednesday evening
Thursday morning
Thursday afternoon
Thursday evening
Friday morning
May we have your permission to use pictures of your child on our website or social media (no names are disclosed)?
Yes
No
How did you hear about The Music Factory?
I understand I am enrolling my child for a full semester program each time I register him/her, and full payment is required for the semester. I realize that if I do not continue, regardless of the reason, $50 is NON-REFUNDABLE to cover administrative costs. I understand that I will notify the teacher or director if we will miss a class, and that a make-up class is only available in this case. Make-up classes must be scheduled in advance. By submitting this form, I have agreed to the above policies.
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Agree
Pay your registration deposit ($50 per student):
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