The Joyful Noise Studio - Fall 04 Registration

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Registration Form
FALL 2004 September - December
fill-in the form and submit registration

25% OFF Tuition Fee for 2nd Child
50% OFF Tuition Fee for 3rd Child

The Joyful Noise Studio will notify you the total amount due via email.


DREAM PILLOW & ZOOM BUGGY
Total Classes	16
Class Length	45 min
Tuition & Home Materials	$170
Adult in attendence

MILK & COOKIES OR AWAY WE GO
Total Classes	15
Class Length	60 min
Tuition & Home Materials	$180
Adult in attendence

HELLO WEATHER
Total Classes	15
Class Length	60 min
Tuition & Home Materials	$190
Adult attends last 10 min.

YOUNG CHILD
Total Classes	15
Class Length	75 min
Tuition & Home Materials	$200
Adult attends last 10 min.

Parent's Names:
Address:
City, Zip:
Home Phone:
Day Phone:
Emergency Phone:
email:
How did you hear about the Kindermusik® program:
List any medical or behavioral conditions of which the Instructor should be aware:
List other activities that the child currently enrolled in:

Child's Name 1:
Age/Birthday:
1st Choice:
2nd Choice:

Child's Name 2:
Age/Birthday:
1st Choice:
2nd Choice:

Child's Name 3:
Age/Birthday:
1st Choice:
2nd Choice:

I have read and agree with The Studio's policy. I do hereby release and forever discharge The Joyful Noise Studio, The Studio Instructors, and The Studio owners, from any and all actions, claims and demands for, upon or by reason of damage, loss of personal injury which may be sustained by my child or myself during the course of or as a result of this musical activity.
*Signature:
*Date:

Payment Options are available for all Kindermusik classes provided by The Joyful Noise Studio, please contact Florence for more information. Tuition fee is due on the first day of class if you submit this form online. Classes registration/material fees are subject to change at anytime.