Early Childhood Enrollment Form

Location: Miwok Park in Novato, 2200 Novato Blvd

Read full class description here

Please sign us up for:*

Please select class*

Please select enrollment fee*

Sibling under 9 months FREE

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*

Date

Sibling's Name

First NameLast Name

Sibling's Date of Birth

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

Trial class refunds: You may request a FULL refund 24 hours prior to your scheduled trial class. You can also reschedule your trial class if needed at anytime for any reasson.
Full sesssion 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

Music Circle Outdoors