Registration Form Spring 2008

To enroll, please complete, print, then mail this registration form with you check made payable to:
Kindermusik with Carla, P.O. Box 4505, Bridgeport, WV, 26330.
Spring 2008
Jan 28 - May 16, 2008

Click here for our
Courtesy Information
Sign & Sing
Total Classes 10
Class Length 45 min.
Total Cost
Includes tuition
and materials		 $142
Adult in attendence
Village
Total Classes 15
Class Length 45 min.
Total Cost
Includes tuition
and materials		 $190
Adult in attendence
Our Time
Total Classes 15
Class Length 45 min.
Total Cost
Includes tuition
and materials		 $190
Adult in attendence
Imagine That!
15 weeks
Total Classes 15
Class Length 45 min.
Total Cost
Includes tuition
and materials		 $190
Adult attends last 10 min.
Young Child
15 weeks
Total Classes 15
Class Length 60 min.
Total Cost
Includes tuition
and materials		 $244
Adult attends last 10 min.
Village, Sign & Sing, Our Time and Imagine That! Installment Plan
$84 with regristration; $53
by Feb 15; $53 by March 15

Young Child 2 & 4
Installment Plan
$94 with regristration; $75
by Feb 15; $75 by March 15
Parent/Guardian:
Mailing Address:
City/Zip:
Phone:
Work or Cell Phone:
e-mail:
New to Program Previously Enrolled

How have you heard
about us?
1st Child's Name:
Date of Birth/Age:
Program:
Day/Time Preferred:

2nd Child's Name:
Date of Birth/Age:
Program:
Day/Time (1st Choice):
Day/Time (2nd Choice):
Payment Plans
Payment in full
Pay in installments
Payment Method
Payment by check (payable to Kindermusik with Carla)
Payment with credit card: Visa or MasterCard
Cardholder Name:
Credit Card Number:
Exp. Date:
Billing Address:
City & Zip Code:

I am enrolling my child for the entire Spring semester of Kindermusik and understand that my non-refundable payment(s) is due accordingly.
Signed:
Thank you for choosing Kindermusik!

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