Kindermusik® for the Young Child Class
Ages: 5 to 7 years old |
Registration FormCost: $190 per child. Materials are included. 14 seventy-five minute lessons.
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| Class Location: First Christian Church 1506 Dug Gap Road Dalton, GA
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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: * |
| 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 play an instrument which you would be willing to demonstrate in class?:
Yes No |
| If yes, which instrument?: |
| 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:
