Kindermusik
®
Family Time Class
Ages: For all ages.
Registration Form
Cost:
Tuition-$90 for first child, $50 for second child, $25 for third child. Children under 10 months or over six years attend for free with a paid sibling. Materials are separate:$70 (one set required per family). 10 forty-five minute lessons included.
Discounts are available.
Choose Class Location:
Choose_One
First_Christian_Church_1506_Dug_Gap_Road_Dalton
Choose Class Dates, Time, Semester:
Choose_One
Child's Name
:
*
Boy or Girl:
*
Choose One
Boy
Girl
Date of Birth:
*
Choose Month
January
February
March
April
May
June
July
August
September
October
November
December
Day:
Choose 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
Year:
Choose Year
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Name and ages of siblings
Sibling's Name:
Birthdate:
Sibling's Name:
Birthdate:
Sibling's Name:
Birthdate:
Sibling's Name:
Birthdate:
About Parents
Parent Name:
*
Parent Name:
Mailing Address:
*
City:
*
State:
*
Zip:
*
Home Phone:
*
Work Phone:
Cell Phone:
E-Mail Address:
*
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.
Site Designed &
Hosted
by
DaltonCommunity.com
