Registration & Fees

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? Please Select Word of Mouth Kid’s Directory of CC Demo Celebrate Mama! other
1st Child’s Name
Date of Birth
Class level	Village Our Time Imagine That!
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	None Village Our Time Imagine That!
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 ($260.00) includes a $10 discount
Payment in installments ($70.00 at registration, $100.00 by first class, & $100 by Oct. 10th)
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

Registration and Enrollment
includes materials!

Village, Our Time & Imagine That

Installments will be $70 at registration, $100 by first class, and $100 October 10th

Discounts and Family Rates
$25.00 off for families who
enroll two or more children

Families who take advantage of this special one time per-semester discount will receive a sibling materials’ kit for the second child if enrolling in the same class.

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. 10th)

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