Kindermusik® Imagine That! Class
Ages: 3½ to 5 years old |
Registration FormCost: $160 (materials included) for 13 weeks
(45 minute classes)Discounts are available.
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| Choose Class Location:
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| Choose Class Dates, Time, Semester:
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| 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: * |
| 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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For a printable PDF version choose one below:
