HAYNES MUSIC STUDIO
Musikgarten Registration Form

Child’s Name (first, last): ____________________________________

Age ____    Birthdate ________________________________________

Parent(s)/Caregiver(s): _______________________________________

Address ___________________________________________________

              ___________________________________________________

Phone ________________               _____________________________
						Parent/Caregiver

Phone ________________                _____________________________
						Parent/Caregiver

E-mail _____________________________________________________

Class ___________________________________________

Preferred Day & Time ______________________________

Referred by _________________________________________________

Registration 			$25.00 per family				_______

Materials									_______

Tuition				  					_______
    ( 2nd student in family receives 50% discount)
Total										_______

Payments:	Registration & materials fee is due one week before first class.
		1st monthly payment is due at first class.

I have read and agree with all financial and classroom policies

_________________________________________________________
   	(parent or guardian signature)
FINANCIAL AND CLASSROOM POLICIES

Please read carefully, and sign bottom of registration form, indicating you agree with the following policies.  Remove this page to keep at home.

It is my goal to bring the best early childhood music and movement education possible to children ages birth to 5.  Age-appropriate instruction and materials will be offered for each class.

Financial Policies
1.  Payment:  All registration and materials fees are due one week before the first class.  This allows me to order your materials 	in time to give them out at the first class.  First monthly payment is due at first class.  Make checks payable to “Haynes Music Studio“.
	
2.  Late Fees:  A $10 late fee will be assessed for any payment that is 10 days 	late.  If payment is more than 30 days late, unless prior arrangements 	have been made, the student will not be allowed to continue.

Classroom Policies
1.  Parents are expected to join us and actively participate in each class.
2.  Family packets:  One of the main goals of Musikgarten is to encourage 	musical play at home between parent and child.  The family packet 	contains an excellent CD to encourage this.  If your child listens to 	the CD at home, he will be prepared to participate in class with the 	other children.  If you sing and dance these songs at home with your 	child, 	she will begin to enjoy a lifetime of music-making because she 	sees that music is an important part of YOUR life.
3.  It is imperative, especially with young children, that the parent gently 	guides, rather than manipulates, musical play.  As long as the child is 	not hurting themselves or others, and nothing is being destroyed, a 	child will be allowed to explore freely.  For some children, this will 	be in the form of observing.  Participating will come later, when they 	are more comfortable.  However, do not mistake this for not learning.  	A child is always learning!

Thank you for allowing me to guide your child toward musical literacy!

Helen Haynes
573-657-2932 / 573-489-4314
helenpianomusik@yahoo.com