KINDERMUSIK VILLAGE
ONLINE REGISTRATION FORM

• Register online by completing the form, below.
• Complete one form per child.
• We will confirm receipt immediately upon submission.
• You can also mail, fax or drop off a printed copy of this form to the address, below.
• If you would prefer to register by phone or have questions or concerns, please call our office at 519-622-5702.

Kindermusik Village™ (newborn to 17 months) Total Fee: $234.00 (15-week semester)
Check the Class Schedule, then indicate below, the class day and time in which you wish your child to be registered, in order of preference (all prices include registration, materials, tuition & taxes):

1st SEMESTER:
1) Class Day:  Time:
2) Class Day:  Time:
3) Class Day:  Time:

IMPORTANT PAYMENT INFORMATION:
To reserve a space in a class, a $60 deposit per child plus the balance is required at the time of registration.The balance may be paid in either a post-dated cheque, or indication that we may apply the balance to your credit card on the first day of classes. Receipts are issued upon request.

We will contact you within 2 business days with amount(s) based on the payment plan you chose and will secure payment at that time.

Approximately one-two weeks before classes begin, you will receive detailed information about the upcoming semester.

Please complete one form per child. Kindly indicate name(s) of other siblings enrolled in Kindermusik and curriculum for each: