teresamvoss@gmail.com
Child's Name
Child's Birthday
Child's Age
Name of Parent(S) / Guardians
Daytime Phone
Cell Phone
Email
Street Address
City
State
Zip
Medical or special needs? Allergies?
How did you hear about this kindermusik studio?
Please indicate your preferred day and time – refer to class schedule on home page
(1st choices will be honored as space permits)
1st choice
2nd choice
3rd choice
An invoice will be emailed to you after registration is confirmed. We accept credit card, check or cash paid in full at your 1st class