Kindermusik with Sherry - Registration Form

Kindermusik^® ABC Music & Me Class Ages: 4 to 6 years old	Registration Form Cost: (First Christian Church) $45 per month (four 45-minute classes) Cost: (Varnell Praise & Play Preschool) $40/month (4 lessons) Discounts available for prepayment of 3 months. All materials included (30 minute classes) Cost: (Cohutta Elem. School) $45 per month (four 45-minute classes) All materials included Discounts are available.
Choose Class Location:
Choose Class Date, Time, Semester:
Child's Name: *	Boy or Girl: *
Date of Birth: * Day: Year:
Name and ages of siblings
Sibling's Name:	Age:
Sibling's Name:	Age:
Sibling's Name:	Age:
Sibling's Name:	Age:
About Parents
Parent Name: *	Parent Name:
Mailing Address: *
City: * State: * Zip: *
Home Phone: * Work Phone:
Cell Phone:
E-Mail Address: *
Child's Teacher: (if applicable)
Previous Kindermusik Classes?: Yes No
If yes, please list:
If new, how did you hear about this class?:
Do you know anyone who would like to hear about Kindermusik?
Their Name:	Phone:
Their Name:	Phone:
Tell me one benefit you would like for your child to derive from this semester in Kindermusik.

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