Spring 2018 Registration
We are very excited to have you joining us for Spring Semester at The Music Factory! When you click "Continue" below, you will automatically be taken to PayPal to submit your registration deposit. THE DEPOSIT IS REQUIRED TO PROCESS YOUR REGISTRATION. In 7-10 days, you will receive an invoice by email with your balance due, reflecting this deposit, materials, enrollment or registration fees ($20 for new families, $10 for returning families), referral bonuses, and sibling discounts.
Parent's First & Last Name:
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Address Line 1:
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Address Line 2:
City, State, ZIP:
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Email Address:
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Phone Number:
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Alternate Phone Number:
How many children will you be registering for classes?
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One
Two
Three
Four
Child's First & Last Name:
Child's Age (Years and Months):
Child's Birth Date:
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Month
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Day
Year
Date Picker Icon
Select Spring Semester Class:
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Bouncing Babies - birth to 16 months
Wandering Walkers - 15 to 28 months
Jaunty Jumpers - 29 months to 3 ½ years
Walkers/Jumpers Combo - 15 months to 3 ½ years
Precocious Preschoolers - 3 ½ to 5 years
Music Makers at Home - 4 ½ to 6 years
Music Makers Around the World - 6 to 8 years
Keyboard, Year One (2nd semester) - 6-10 years
Keyboard, Year Two (2nd semester) - 7-11 years
Harp, Year One (2nd semester) - 7 years and up
Private Piano Lessons
Private Harp Lessons
Private Voice Lessons
Piano Partner Lessons
List any allergies, special needs, or medical issues of which the teacher should be aware:
Second Child's First & Last Name:
Second Child's Age (Years & Months):
Second Child's Birth Date:
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Month
-
Day
Year
Date Picker Icon
Select Spring Semester Class for Second Child:
Bouncing Babies - birth to 16 months
Wandering Walkers - 15 to 28 months
Jaunty Jumpers - 29 months to 3 ½ years
Walkers/Jumpers Combo - 15 months to 3 ½ years
Precocious Preschoolers - 3 ½ to 5 years
Music Makers at Home - 4 ½ to 6 years
Music Makers Around the World - 6 to 8 years
Keyboard, Year One (2nd semester) - 6-10 years
Keyboard, Year Two (2nd semester) - 7-11 years
Harp, Year One (2nd semester) - 7 years and up
Private Piano Lessons
Private Harp Lessons
Private Voice Lessons
Piano Partner Lessons
List any allergies, special needs, or medical issues of which the teacher should be aware:
Third Child's First & Last Name:
Third Child's Age (Years & Months):
Third Child's Birth Date:
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Month
-
Day
Year
Date Picker Icon
Select Spring Semester Class for Third Child:
Bouncing Babies - birth to 16 months
Wandering Walkers - 15 to 28 months
Jaunty Jumpers - 29 months to 3 ½ years
Walkers/Jumpers Combo - 15 months to 3 ½ years
Precocious Preschoolers - 3 ½ to 5 years
Music Makers at Home - 4 ½ to 6 years
Music Makers Around the World - 6 to 8 years
Keyboard, Year One (2nd semester) - 6-10 years
Keyboard, Year Two (2nd semester) - 7-11 years
Harp, Year One (2nd semester) - 7 years and up
Private Piano Lessons
Private Harp Lessons
Private Voice Lessons
Piano Partner Lessons
List any allergies, special needs, or medical issues of which the teacher should be aware:
Fourth Child's First & Last Name:
Fourth Child's Age (Years & Months):
Fourth Child's Birth Date:
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Month
-
Day
Year
Date Picker Icon
Select Spring Semester Class for Fourth Child:
Bouncing Babies - birth to 16 months
Wandering Walkers - 15 to 28 months
Jaunty Jumpers - 29 months to 3 ½ years
Walkers/Jumpers Combo - 15 months to 3 ½ years
Precocious Preschoolers - 3 ½ to 5 years
Music Makers at Home - 4 ½ to 6 years
Music Makers Around the World - 6 to 8 years
Keyboard, Year One (2nd semester) - 6-10 years
Keyboard, Year Two (2nd semester) - 7-11 years
Harp, Year One (2nd semester) - 7 years and up
Private Piano Lessons
Private Harp Lessons
Private Voice Lessons
Piano Partner Lessons
List any allergies, special needs, or medical issues of which the teacher should be aware:
Preferred Day and Time for Babies Class:
Monday, 4:45-5:15 - with Deirdre
Tuesday, 5:00-5:30 - with Devon
Thursday, 11:10-11:40 - with Deirdre
Preferred Day and Time for Walkers Class:
Thursday, 10:25-10:55 am - with Deirdre
Friday, 9:30-10:00 am - with Deirdre
Preferred Day and Time for Jumpers Class:
Friday, 10:15-10:55 am - with Deirdre
Preferred Day and Time for Walkers/Jumpers Combo Class:
Tuesday, 5:45-6:15 pm - with Devon
Wednesday, 10:00-10:30 am - with Deirdre
Thursday, 5:15-5:45 pm - with Devon
Preferred Day and Time for Precocious Preschoolers:
Tuesday, 10:15-11:00 am - with Tracey
Tuesday, 5:45-6:30 pm - with Tracey
Wednesday, 11:15 am - 12:00 pm - with Tracey
Thursday, 6:00-6:45 pm - with Devon
Preferred Day and Time for Music Makers at Home:
Tuesday, 4:30-5:30 pm - with Tracey
Wednesday, 6:00-7:00 pm - with Tracey
Preferred Day and Time for Music Makers Around the World:
Wednesday, 4:30-5:30 pm - with Tracey
Preferred Day and Time for Keyboard, Year 1 class:
Monday, 5:45-6:45 pm - with Deirdre
Thursday, 4:15-5:15 pm - with Deirdre
Preferred Day and Time for Keyboard, Year 2 class:
Thursday, 5:45-6:45 pm - with Deirdre
Preferred Day and Time for Harp, Year 1 class:
Wednesday, 5:00-5:45 pm - with Devon
What days and times are you available for lessons?
Monday afternoon
Monday evening
Tuesday morning
Tuesday afternoon
Tuesday evening
Wednesday morning
Wednesday afternoon
Wednesday evening
Thursday morning
Thursday afternoon
Thursday evening
Friday morning
Select format for at-home materials:
Hard Copy CD
Digital Download Music
Would you like to purchase an instrument kit (rhythm sticks, scarves, finger cymbals, and jingles)? Cost is $20.00 plus tax.
Yes
No
May we have your permission to use pictures of your child on our website or social media (no names are disclosed)?
Yes
No
How did you hear about The Music Factory?
I will provide The Music Factory with any pertinent information about my child's medical or personal information as necessary to assist in classroom and/or emergency situations as it changes from above information. I understand I am enrolling my child for a full semester program each time I register him/her, and full payment is required for the semester. I realize that if I do not continue, regardless of the reason, $50 is non-refundable to cover administrative costs. I understand that I will notify the teacher or director if we will miss a class, and that a make-up class is only available in this case. Make-up classes must be scheduled in advance and within the same semester. By submitting this form, I have agreed to the above policies/information.
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Agree
Pay your registration deposit ($50 per student):
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