New and Returning Student Winter 2019 Term Registration

NEW AND RETURNING Student Registration Form for SPRING/SUMMER 2020 Term

Please fill out the form completely - that includes making a 2nd choice - even if it is the same class as your 1st choice. We do consider your 2nd choice a viable option. Completing the form also includes that you read the Policies and Waivers and scroll down, then, check the box that you have read them. You must also make your payment or the registration form will not be processed. You need not have a PayPal account to pay - you can use any credit card. You will receive your registration and confirmation enrolling. If enrolling more than one student and to apply the 10% Family Discount put FAMDIS into the coupon box and your Discount will be applied.
Person Filling out this form *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Email Address *
Phone Number *

Area Code Phone Number
Additional Caregiver Name

First Name Last Name
Additional Caregiver Email Address
example@example.com
Student 1 Name *

First Name Last Name
Student 1 Birth Date *

Month Day Year
Student 1 Class Selection - Choice 1 *
Student 1 Class Selection - Choice 2 *
Are you enrolling another student? *

Yes No
Student 2 Name

First Name Last Name
Student 2 Birth Date

Month Day Year
Student 2 Class Selection - Choice 1
Student 2 Class Selection - Choice 2

Tuition *

Musical Beginnings $ 84.00

Quantity

Music for Little People Age 2 $ 126.00

Quantity

Music for Little People Age 3 $ 126.00

Quantity

4's Encounters Age 4 $ 140.00

Quantity

Enter coupon

Total $ 0.00

NEW AND RETURNING Student Registration Form for SPRING/SUMMER 2020 Term