Child #1 Name
*
First Name
Last Name
Child #1 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
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12
13
14
15
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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
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1936
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1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Child #1 Gender
*
Please Select
Male
Female
N/A
Child #2 Name (if applicable)
First Name
Last Name
Child #2 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
Child #1 Gender
Please Select
Male
Female
N/A
Parent/Caregiver Name
*
First Name
Last Name
Parent E-mail
*
example@example.com
Mobile Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nanny/Caregiver Name (if applicable)
First Name
Last Name
Nanny/Caregiver Phone
Please enter a valid phone number.
Who will be bringing your child to class and what is their relationship to the child?
*
What kind of family are you?
*
Returning/Current member of Mattix Music Studio
New to Mattix Music Studio
Class Times
Choose your preferred class times. Classes are limited to six children.
First Choice for Class Time
*
Thursday 4:15-4:45pm
Friday 3:15-3:45pm
Saturday 9:30-10:00am
Second Choice for Class Time
*
Thursday 4:15-4:45pm
Friday 3:15-3:45pm
Saturday 9:30-10:00am
Tuition
Tuition is $100.00 per month, charged on the 1st day of the month. Once you fill out this form, we will send you a link to make a payment for your first month of tuition, which sets up your automatic payments. Tuition must be received in full in order to begin classes.
Registration Fee
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Registration Fee
Annual non-refundable registration fee
$
25.00
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Signature
Interested in other classes? Tell me more about...
Music Together® Mommy & Me classes
Piano Lessons
Singing Lessons
Violin Lessons
Viola Lessons
Guitar Lessons
Trumpet Lessons
Other group classes for grades 1-4
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