Music Together® Fiddle Collection Class Registration
Monday 9:15-10:00am
Class meets- 9/9, 9/16, 9/23, 9/30, 10/7, 10/21, 10/28, 11/4, 11/11, 11/18
Child #1 Name
*
First Name
Last Name
Birth Date
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
Male
Female
N/A
Child's Name #2 (if applicable)
First Name
Last Name
Birth Date
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
N/A
Child's Name #3 (if applicable)
First Name
Last Name
Birth Date
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
N/A
Returning Families- Any changes to your contact info from last year (email, phone, address)?
*
Yes, I have changes to my information
No, my information is the same
We are new to Music Together and Mattix Music Studio
We are new to Mattix Music Studio, coming from a different Music Together school/provider
Parent/Caregiver Name
*
First Name
Last Name
Parent Email
*
example@example.com
Mobile Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nanny/Caregiver (if applicable)
First Name
Last Name
Nanny/Caregiver phone (if applicable)
Please enter a valid phone number.
Who will be bringing your child to class and what is their relationship to the child?
*
Do you want a CD in addition to your digital music?
*
Yes
No
Tuition
Tuition is per immediate family. Nanny shares must have a separate registration per family.
My Products
*
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Fiddle Collection
Tuition per family- 2 classes
$
60.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Signature
*
Referred by a current Mattix Music Studio family? Please list them here.
Referred by
Second Choice for class time if needed
*
Mon 9:15am
Mon 10:15am
Tues 9:15am
Tues 10:15am
Wed 9:15am
Wed 10:15am
Thurs 6:00pm
Sat 10:15am
Submit Registration
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