Musikgarten Musikgarten
Burghart Music Studio
Home Office: (269)753-5044 Marshall Studio Address: Grace Baptist Church
16738 Hubbard Road 500 Cosmopolitan
Marshall, MI 49068 Marshall, MI 49068
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Registration

Please use the following form to register each child for classes. 
Please call 269.753.5044 if you have any questions or concerns. I want every child to be a part of a class!!  

If you choose to pay by installments or need to make arrangements for the intial payment please tell me in the "Question/Comment" area of the registration form. 

Burghart Music Studio
16738 Hubbard Road
Marshall, MI  49069
 
If you do not wish to register on line, download this PDF file RegistrationForm.pdf and send to the same address.. You will need Adobe Acrobat to view this document. Go to www.adobe.com to download free Acrobat Reader.

We will contact you after we receive your registration to confirm the availability and provide additional any information.


Select Class:  

Preferred Day/Time:  (e.g. Tuesdays 09:30)
 
Parent's First Name:  
Parent's Last Name:  
Address Line 1:  
Address Line 2:  
City:  
State/Province:          
Zip/Postal Code:  
Email Address:  
Home Phone Number:   -   -  
Work Phone Number:   -   -  
Cell Phone Number:   -   -  
Alt. Contact Person:  
Alt. Contact Phone:   -   -  
Child's First Name:  
Child's Last Name:  
Child's Current Age:   months     years
Child's Birthdate:   (MM/DD/YYYY)  
List any allergies or medical issues of which the teacher should be aware:  
How did you hear about us?:  
Other:  
Question/Comment: