Kindermusik of Cambridge/KW - Young Child Registration

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.
If you would prefer please feel to call and register over the phone 519-622-5702 .

PARENT'S NAME:
DAY PHONE:
YOUR EMAIL:
FULL ADDRESS:
CHILD'S NAME:
BIRTHDATE:
Choice of Location: Waterloo Cambridge
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):

Kindermusik for the Young Child® (5 to 7 year olds) Total Fee: $270.00* (15 week session)

Year One
Year Two

1) Class Day: Time:
2) Class Day: Time:
3) Class Day: Time:
(*An additional charge applies for new children starting in semester 2, 3, or 4. Please contact our office for details.)

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.

If you wish mail, fax, or drop off your registration to:
Office Address:	Kindermusik of Cambridge / K-W Kindermusik 2 - 180 Sheldon Drive Cambridge, Ontario N1R 6V1
Office Phone Number:	519-622-5702
Office Fax Number:	519-622-9357
Office Email Address:	info@kindermusik.ca

All prices include registration, materials, tuition and taxes.
Price is less than quoted for sibling in same curriculum. Click for more details.

Kindermusik of Cambridge/KW, August 2008
original design by Imagitek, re-skin by TyMi