Kindermusik Registration

Kindermusik is an accredited class taught by Ellen Singh at Tessitura Music.

One participating adult must accompany the child in all classes. DO NOT bring non-enrolled siblings to class.

Parent's Name

if student is under 18

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####

How did you learn about my program?

Were you referred by someone? Please include their name.

Reason you chose this class?

Music History

Describe your history of music in the family, if applicable.

Child's Name

First Name

Last Name

Date of Birth

YYYY

Child's Age

Is your child new to Kindermusik?

Select Class

Village (birth - 18 mos) Sept 12 - Oct 31 - Thursday, 10 am - 10:45 am, Tuition $175 for 8 weeks

Village (birth - 18 mos) Jan 16 - March 6, Thursdays, 10am - 10:45am, Tuition $175 for 8 weeks

Our Time (18 mos - 3 yrs) Sept 12 - Nov 14, Thursday, 11am. Tuition $210 for 10 weeks

Our Time (18 mos - 3 yrs) Jan 16 - March 20, Tuition $210 for 10 weeks

Laugh & Learn (18 mos - 4 yrs) March 24 - May 9, Tuition $175 for 8 week s

Laugh & Learn (18 mos - 4 yrs) March 27 - May 15, Tuition $175 for 8 weeks

Form of Payment

Non-Refundable class fee is due in full with registration and confirms space in class.

Comments

Please list your questions and anything else we need to know.