Musikgarten Musikgarten

The Ellen Johansen Music Studio
8 Stratton Square East Hampton, NY 11937
631-324-9648

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Registration

For Summer registrants: Include at least four dates of the classes you wish to attend.  Based on the amount of classes your plan to join, I will create an invoice.   



 


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: