Musikgarten
The Ellen Johansen Music Studio
8 Stratton Square East Hampton, NY 11937
631-418-5497
Registration
Select Class:
Family Music for Babies and Non walkers - Babies and Non- Walkers
Family Music: My Day - 15 mths (walkers) -3 yrs
Cycle of Seasons: Wind Dancers - 3s and 4s
Music Makers At Home in the World - 4 1/2, 5s and 6s
Fall: Music Makers: Around the World (pre-piano) - 5s, 6s and early 7s
Music Makers at the Keyboard Book 1 - 7, 8 and 9s
Music Makers: At the Keyboard Book 3 - Completed Books 1 and 2
Preferred Day/Time:
(e.g. Tuesdays 09:30)
Preferred Location:
8 Stratton Square, East Hampton
Creative Edge Studio
Parent's First Name:
Parent's Last Name:
Address Line 1:
Address Line 2:
City:
State/Province:
AB
AL
AK
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Zip/Postal Code:
Email Address:
Home Phone Number:
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Work Phone Number:
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Cell Phone Number:
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Alt. Contact Person:
Alt. Contact Phone:
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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?:
Search Engine (please provide name below)
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Attended Previous Class
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Other:
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