Please mail this form along with your payment to the address at the bottom of this page.
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REGISTRATION will be confirmed by phone or email | ||
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Parent's name |
How did you hear about these classes? | |
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Address, City, Zip |
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Phone |
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Cell Phone |
Best way to reach you | |
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Name of Child #1 |
Birth date | |
| Name of Child #2 | Birth date | |
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Name of Child #3 |
Birth date | |
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1st Choice Day & Time | ||
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2nd Choice Day & Time | ||
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Tuition for a 10 week session |
Please register early!! |
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1st child |
$190.00 |
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| 2nd child | $115.00 |
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Siblings under 9 months |
FREE |
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New family one-time registration fee |
$15.00 |
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Payment Total |
$____________ |
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REFUND POLICY: No refunds will be given after the first class. There is a $25/family non-refundable administrative fee included in the tuition.
Please make check payable to Music Together of Belmont and mail to:
Lenka Zbruz