Family Music Enrollment Fall 2010

Family Music Enrollment is closed.  Classes are full.  If you are interested in being placed on the waiting list, please fill out the form and in the area marked "sibling and ages" please write the class for which you would like to enroll.  Enrollment for the winter semester will open in mid-December.

 

Mondays
(September 13-November 15)
  10 weeks = $40.00  plus an annual $25 materials fee  (one per family)

10:30am  (18mo.-3 years)     CLOSED   

11:15am (6 mo.-2 years)     CLOSED         

 

Wednesdays 
(September 15-November 17))
  10 weeks = $40.00 plus an annual $25 materials fee (one per family)

9:25am (12mo-3 years)      CLOSED     
4:30pm (13-30 months)      CLOSED

Second child registering in a family is half-price  ($20) 

 

 

Child’s name:         male       female

Birthdate:                          

Parent/Guardian:  

Street Address:     

 

City/State/Zip:    

 

Home phone:        Cell/Work:

 

Parent email (if read regularly):  

 

Emergency contact Name:    

                            

Emergency Contact Phone:

 

Please list names of siblings and ages:

 

Do you anticipate using the church nursery for a sibling ($2 per class)?

Yes    No

 

Electronically sign this form by entering your initials here: