Kindermusik of Grapevine
Registration  By Credit Card or PayPal for Summer 2009

To register, please fill out  this form, hit ‘SUBMIT’, and then follow PayPal’s
payment directions. Follow  this procedure for each child being registered. 
To change your class selection, hit ‘RESET’.

Child’s  Name:

Male Female

Birthdate:

 

Age when class  begins:             

Year: Month:

First Names  & Ages of Siblings:

Parent/Guardian:

Address:

City/Zip:

Home  Phone:

 

Cell:

 

Work:

 

E-mail:

Mom’s  Occupation:

Dad's  Occupation:

Parents’  Musical Training/Interests:

Nursery Needed?  Yes No If 'Yes", Age of  child:

How did you  hear about Kindermusik?


                                           PLEASE SELECT YOUR CLASS/SESSION BELOW:
                                                  (Call to Check for Availability of June Classes)

                                        Busy Days
                                        (Newborn - 18 months with parent/caregiver)
                        Session 1 - Wednesdays, June 10, 17, July 1, 8, 15 at 11:45 - 12:30*    
                        Session 2 - Thursday, June 11, 18  July 2, 9, 16 at  10:30 - 11:15*    
                           Total Camp Fee $95 (including classes and home materials)
                          *Nursery available for siblings at no charge (must reserve spot)
 

                                        Creatures in the Ocean
                                        (18 months - 3 1/2 years with parent/caregiver)
                        Session 1 - Wednesdays, June 10, 17 July 1, 8, 15 at  10:45 - 11:30*
                        Session 2 - Thursdays, June 11, 18  July 2, 9, 16 at 9:30 - 10:15*    
                        Session 3 - Tues/Thurs, July 28, 30  August 4,6 11 at  9:30 - 10:15  
                           Total Camp Fee $95 (including classes and home materials)
                           *Nursery available for siblings at no charge (must reserve spot)
 

                                      On the Road
                                      (3 - 5 year-olds - Parent & siblings join last 15 minutes of class)
                        Session 1 - Wednesdays, June 10, 17, July 1, 8, 15 at  9:30 - 10:30
                        Session 2 - Tues/Thurs, July 28, 30  August 4,6,11 at  11:30 - 12:30
                           Total Camp Fee $115 (including classes and home materials)
 

                                      Family Time Make Way for Music
                                      (Newborn thru 5 years old)
                        Session 1 - Thursdays, June 11, 18  July 2, 9, 16 at 11:30 - 12:15
                        Session 2 - Tues/Thurs, July 28, 30  August 4,6,11 at  10:30 - 11:15
                           Total Camp Fee $125 1st child (including classes & home materials)
                                                      ($55 each additional child)

Payment Information: Includes  materials and 5 classes. Because the schedule of classes is set and contracted  salaries are based upon enrollment in each class, there will be no  refunds. In case of medical emergency, partial credit can be applied  to the following semester.

Late  registration will continue as long as space is available, and tuition will  be prorated based on when student begins attending class. Call Mary  Diane at 817-481-4513 x200 for amount due.

By enrolling my child for this semester, I agree to pay  the full tuition of $ from the  class list above.