ONLINE REGISTRATION FORM

• You can register by completing the form, below.
• 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, or call in your registration.

Kindermusik Village With Seniors™ (newborn to 17 months) Total Fee: $234.00 (15-week session)

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 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 will be issued upon request.

Once your registration is processed, you will receive confirmation and 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: ___________________ __________________________________________________________________________

We will contact you when you submit this form for method of payment and payment options.