FAMILIES MAKIN' MUSIC REGISTRATION

PLEASE NOTE: REGISTRATION CANNOT BE ACCEPTED UNLESS IT IS SIGNED. THX.

Parent Name(s) Dr. Mr. Mrs. Ms __________________________________ Caregiver ______________________

Address: _______________________________City/Prov. ______________ Postal Code___________________

Occupation (Mom)____________________________________________

Occupation (Dad)____________________________________________

Work# (Mom) (____)_____________ Home# (____)_____________ Work# (Dad)(____)_________________

Email (Mom) ________________________________ Email (Dad) _________________________________

Child #1 ____________________________________ Birthday________________________

Child #2 ____________________________________ Birthday________________________

CLASS LOCATION _______________________________ DAY/TIME_______________________

Course Duration & Fees

Family Registration Fee (One time fee for New Families)
Check the Classes Page for the number of weeks the class runs and fill in accordingly.

$ 30

7 weeks - 1st Child $112; Other Siblings $98 ea. (Summer Only)

$______

10 weeks - 1st Child $160; Other Siblings $140 ea.

$______

12 weeks - 1st Child $192; Other Siblings $168 ea.

$______

13 weeks - 1st Child $208; Other Siblings $182 ea.

$______

14 weeks - 1st Child $224; Other Siblings $196 ea.

$______

15 weeks - 1st Child $240; Other Siblings $210 ea.

$______

CD & Songbook - $30

$ 30

Sept-June (36 Weeks) - 1st Child $576; Other Siblings $504 ea.
Only applicable at Sept Registration

$______

TOTAL =

$______

I UNDERSTAND & AGREE to the terms of Registration and Parent Guidelines while participating in these classes, or anytime before or thereafter. I waive any claim against Helen Bauer and/or Families Makin' Music while participating in these classes, or anytime before or thereafter.

SIGNATURE:_________________

PRINT NAME: _____________________

DATE: _______________

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - TEAR HERE - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REGISTRATION INFORMATION: DETACH & SUBMIT ABOVE REGISTRATION PORTION ONLY
Make cheque payable to: Helen Bauer, 55 Wynford Hts. Cres., Apt #1717, North York, ON, M3C 1L5 (416) 225-5655

Infants 10 months and under are FREE when attending with a registered sibling.
TWINS three years and under must be accompanied by 2 adults.
There is a $25.00 NON-REFUNDABLE FEE. NO TRANSFERS OR TUITION REFUNDS TWO WEEKS PRIOR TO CLASS BEGINNING, OR AFTER REGISTRATION DEADLINE.
NSF Cheques are subject to a $20.00 service charge.

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