MT Registration Form

Once you submit the form I will contact you with more details.

Step 1/4 - Enter Parent Details

Last Name:*

Parent(s) Names:*

Address:*

City:*

Postal code:*

Phone Number:*

Cell or Work Number:

E-Mail Address:*

Step 2/4 - Enter Child Details

How many kids are you registering?*

Child #1 Full Name:*

Child #1 Birthdate*

MonthDayYear

Child #2 Full Name:

Child #2 Birthdate:

MonthDayYear

Child #3 Full Name:

Child #3 Birthdate:

MonthDayYear

Child #4 Full Name:

Child #4 Birthdate:

MonthDayYear

Step 3/4 - Select Class Times

Last Question! I would love to know how you heard about Music Together?

Select your first choice below and I'll try to make sure you get in that class. If one class fills up, there will always be the option to go in the other time if you like.

Friday 9:30 - FULL
Friday 10:30 - 1 Spot Open
Saturday 9:30 - 3 Spots Open
Saturday 10:30 - FULL

First Choice*

Second Choice

Step 4/4 - Enter Payment Details

How would you like to pay?*

Credit CardCheque

Registration is $199 per child and $120 for additional children (in the same family).

We can't wait to see you in class 🎉

Pay by Credit Card

Class Registration (1st Child)

$199.00CAD

Additional Child (10 Months & Older)

$120.00CAD How many?

Additional Child (9 Months & Younger)

$ FreeCAD How many?

Total

$0.00CAD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Once you click submit payment details will be shown on the next screen