Registration


Note:  When you submit your registration, you should be taken to a payment page.  If this doesn't happen, just refresh the page and it should pop up.

For all classes, send a registration fee of $60 via check payable to Jill Vaughan, or via PayPal.  The registration fee is due at time of registration to hold your child's place in a given class.  The registration fee is included in the total cost of classes, with remaining tuition due on the first day of class.

If you do not wish to register online, you may download the appropriate registration form by clicking below on the PDF file.  Please send the completed form to me along with the $60 registration fee.  You will need Adobe Acrobat to view this document. Go to www.adobe.com to download free Acrobat Reader.

 RegistrationForm.pdf

I will contact you after I receive your registration to confirm availability and provide parent orientation information.  For classes with multiple offerings, please register for your first choice of class time and list your second choice, if applicable, in the comments section.

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)  
May I have your permission to use pictures of your child in advertising?
      Yes     No    
List any allergies or medical issues of which the teacher should be aware:  
How did you hear about us?:  
Other:  
Question/Comment:  
I understand that my insurance will cover all costs if injuries occur at the facility while attending music class. My submission of this registration indicates my agreement that I will not hold Musikgarten Bellaire responsible for any loss, damages or injury incurred directly or indirectly from participation in Musikgarten Bellaire's program or class.