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 (Parent)____________________________________________
Occupation (Parent)____________________________________________
Work# (Parent) (____)_____________ Home# (____)_____________ Work# (Parent)(____)_________________
Email (Parent) ________________________________ Email (Parent) _________________________________
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    
6 weeks - 1st Child  $84; Other Siblings $72 ea. (Summer Only)   $______
10 weeks - 1st Child  $140; Other Siblings $120 ea.   $______
13 weeks  - 1st Child $182; Other Siblings $156 ea.   $______
14 weeks - 1st Child $196; Other Siblings $168 ea. $______
CD & Songbook  -  $28   $    28    
Sept-June (36 Weeks) - 1st Child $504; Other Siblings  $432 ea.
Save $20 for 1 Child, $30 for 2 Children - 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, 1201 Steeles Ave. W. #704, North York, ON, M2R 3K1 (416) 225-5655

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