Music Time Studio
23211 Oak Tree Court California, MD 20619
info@MusicTimeSoMD.com   301-481-5940
 




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Registration

Please use the following form to register your child for one of our classes.  We will contact you after we receive your registration to confirm the availability and total cost.

We can then invoice you from Pay Pal or you can mail a check to:
Jennifer Anderson, 23211 Oak Tree Ct. California, MD 20619

If a caregiver will be bringing your child to class, please list that person's name in the comment section.

If you were referred by a friend, please tell us who it was in the comments section. Your friend will receive a tuition discount!

Siblings can be registered on the same form.  Please add their name and age in the Comment Box.

By registering with Music Time Studio you give your consent for use of class photographs of you and your child for marketing materials.


Select Class:  
Preferred Day/Time: 
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:   -   -  
Alternate 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: