Benson School of Music - Kindermusik Registration (Foundations - ages 0-12 months)
Registration for Kindermusik classes (Foundations, ages 0-12 months) 7 week term. Wednesdays, Nov 6, 2024 - Dec 18, 2024.
Student Name
*
First Name
Last Name
Student Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Main contact name(s)
Main contact email address (1)
example@example.com
Main contact email address (2)
example@example.com
Student Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Main contact cell number (1)
-
Area Code
Phone Number
Main contact cell number (2)
-
Area Code
Phone Number
Is there anything we should know about you? (allergies, family needs, etc)
Please select your class time (note: 12:30pm class is now FULL)
Please Select
Wednesdays, 11:30am-12:15pm
Fees due upon registration (non-refundable)
prev
next
( X )
Fees due upon registration (non refundable)
$
125.78
CAD
$109.38 + tax (non refundable) Price includes 8 weeks of Kindermusik Foundations classes on Wednesdays from Nov 6 - Dec 18.
Quantity
1
2
3
4
5
6
7
8
9
10
Total
$
0.00
CAD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
I acknowledge that by providing my electronic signature, I realize that photos or video may be taken in class for the use of educational and promotional purposes. I understand that if my preference is to NOT have photos/videos shared on social media, I must email jenniferbensonmusic@gmail.com to notify our office.
Signature
Continue
Continue
Should be Empty: