Early Childhood Enrollment Form

Music Circle Outdoors

For ages 0 to 3.5 with a parent or caregiver. Instructor: Miss Melissa Ayotte, licensed Musikgarten instructor
Location: Miwok Park in Novato, 2200 Novato Blvd

Read full class description here
Please sign us up for:*

Trial class 11/7Trial class 11/14Trial class 11/21Spring 3/6 TO 5/15Other
Please select class*
Please select enrollment fee*
Sibling under 9 months FREE
Please select discounted ($20) enrollment fee*
Sibling under 9 months FREE
To enroll, please select class(es)

Other
Registration type*
Parent's Name*

First NameLast Name
Parent's E-mail*
example@example.com
Phone*
Alternate phone
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child 1 Name*

First NameLast Name
Child 1 Date of Birth*

MonthDayYear
Date
Sibling's Name

First NameLast Name
Sibling's Date of Birth

MonthDayYear
Date
Who will bring your child / participate in the class?
If not you!
Relationship to child
Participant's Email
Participant's Cell number
NOTES Please list any medical conditions, allergies, or other information you think we should know.
How did you hear about this class?
Preferred Payment Method*
Enter your payment email or phone number for Zelle
Please enter the email address or number for payment invoice
Enter your payment handle, name or phone number for Venmo
Please enter the email address or number for payment invoice
Enter your payment email for Paypal
Please enter the email address we should use to send payment invoice
I will send you a payment request through your preferred payment method within 48 hours.

Be sure to pay this invoice at your earliest convenience to secure your child's spot in the class.
By enrolling at Novato Piano School you are agreeing to class policies listed below, a photo/video release for yourself and your family and all Terms of Service listed here.

Participation Policies
- Refunds: You may request a FULL refund 24 hours prior to the first class meeting, and you may request a PARTIAL refund up to 48 hours after the first class. If you have attended the first class and decide to withdraw from the program, a $60 class materials fee will be deducted from your refund and the materials are yours to keep. After the first week of class, no refund is available.
- Absenses and Make Up classes: There will be ONE bonus (make up) class offered per session. Make up classes will also be offered in the case of teacher cancellation due to illness, weather or poor air quality.
- Rain / Poor Air Cancellations: If it is too wet to hold class, or air quality is poor, class will be cancelled for that week and the session will be extended by a week. An email announcement will be sent out at 8:00 am on the morning of class.
- Adult participants are required to engage their own children during the class and during the week. Please remember to bring a blanket to sit on, your instrument kit (one will be given to all new families at their first class) and hand sanitizer.
- Pets are not allowed.
- Food, drinks and toys (& other "special items") are not allowed in the circle please leave these items in the car or tucked away.
- Please do not attend class with any extra children (from a different family) this will not be permitted.
- Enrolled parents are responsible for communicating this information to anyone bringing their child to class.
Do you agree to policies and terms?*
Please select
Welcome to the Music Circle!

Sing with you soon. : ) Miss Melissa
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Music Circle Outdoors