Kindermusik by the Gifted Child... where every child is gifted!

Registration & Fees (Fall 2010)

To enroll, please complete, print, then give us a call or mail this registration form with your check made payable to: Kindermusik by The Gifted Child, P.O. Box 260014, Corpus Christi, TX 78426

Parents Name
Caregiver’s Name (if participating in class)
Address
City, State & Zip
Please check here if this is a recent change of address.
Home Phone
Cell Phone
E-mail Address

How have you heard about us?

1st Child’s Name
Date of Birth
Class level
Day & Time
Already have this semester’s materials from a previous enrollment
Enrolling two siblings in the same class

2nd Child’s Name
Date of Birth
Class level
Day & Time
Already have this semester’s materials from a previous enrollment
Enrolling two siblings in the same class

Payment Options (Please check one)
Payment in full includes a $10 discount Village $265 / Our Time $260 / ABC Music & Me $265 Family Time $265 for 1st child $175 for 2nd & $165 for 3rd
Payment in installments $75 ($70 for Our Time) at registration, $100 by first class & $100 at your class the week of October 11th. Family Time installment amounts to be arranged at time of registration.
Total Cost =
With this enrollment, I understand that I am committing to pay for the entire semester per the payment option chosen. I also understand that there are no refunds and that make up classes will be available for teacher absences only. Furthermore, I release any and all rights and claims for damages against Kindermusik by The Gifted Child and its staff in the unlikely event of injury sustained by myself or my child(ren) during the course of or as a result of this musical activity.
Signed
Date

Registration and Enrollment
includes materials!

Return this form by
August 27, 2010

$75 ($70 for Our Time classes) nonrefundable deposit is required to register or pay in full and receive a $10 discount.

Payment
For your convenience,
we offer two payment options:
1. Pay in full at the time of registration.

2. Pay in three installments
(first pymt.w/ reg., 2nd pymt by first class, and 3rd pymt Oct. 11th)

Registration is EASY!

1. Find the age-appropriate class level for your child.
2. Decide on a first and second choice for your class time.
3. Complete the enclosed registration form and return it with your payment payable to:
Kindermusik by The Gifted Child
P.O. Box 260014
Corpus Christi, TX 78426