The Joyful Noise Studio - 2010 Fall Registration

Registration Form

for
2010 Fall Classes
fill-in the form and submit registration

Tuition can be break down into 4 payments!

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



Zoom Buggy & Dream Pillow newborn - 18 months
Total Classes	12
Class Length	45 min
Tuition & Home Materials	$200
Adult in attendence


Milk and Cookies 18 months - 3.5 years
Total Classes	12
Class Length	45 min
Tuition & Home Materials	$200
Adult in attendence


3.5 years - 6 years
Total Classes	12
Class Length	45 min
Tuition & Home Materials	$200

Young Child 5 years - 7 years
Total Classes	12
Class Length	45 min
Tuition	$200

Parent's Names:
Address:
City:
Zip Code:
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:

	Note that submitting in the online form only holds a place for a class and it will not be secured without payment. Payment can be made by sending a check payable to "The Joyful Noise Studio" to 3906 Laurel Valley Dr, Powell, Ohio 43065.

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