Kindermusik with Sherry - Registration Form

Kindermusik^® Our Time Class Ages: 1½ to 3 years old	Registration Form Cost for Dalton Classes: Tuition is $150 (for CAG members) and $165 (for non-members). Supply fee is $55 for 1st child and $30 for a sibling. 15 weeks (45 minute classes) Cost for Calhoun Classes: Tuition is $230 and includes all supplies. 15 weeks (45 minute classes) Ask about additional discounts available at this location.
Choose Class Location:
Choose Class Dates, 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: *
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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Our Time