| Parent Name: | |||
| Address: | City: | Zip: | |
| Email #1: | Email #2: | ||
| Phone Numbers | Hm: | Wk: | Cell: |
| Children: Names and Birthdays | |||
| #1: | #2: | #3: | #4: |
| #1 B-day: | #2 B-day: | #3 B-day: | #4 B-day: |
| 1st Class choices for each child: | |||
| Day: Time: Class# |
Day: Time: Class# |
Day: Time: Class# |
Day: Time: Class# |
| 2nd Class choices for each child: | |||
| Day: Time: Class# |
Day: Time: Class# |
Day: Time: Class# |
Day: Time: Class# |
| FEES | |||
| Registration fee for New Students Only | $20 | $ | |
| Summer session | $130 | $ | |
| Sibling Fee | $85 | $ | |
| Additional Sibling Fee | See note below | $ | |
| TOTAL PAYMENT | $ | ||
| Payment by Check | Make payable to MusicalMe Inc. | Check #: | |
| Payment by Credit Card (Visa, MasterCard, Discover) | |||
| Card#: | Expires: | V code: | |
| Signature: | |||
Notes about Fees and Registration for Santa Cruz Co. only:
- Tuition/Fees: Full Payment is due with registration. Infants 8 months and under may attend class free with a registered sibling.
- Credit Card Payment: May be phoned or faxed to 831-438-3514 or mailed.
- V code: the last 3 numbers on the back of your card.
- Confirmation: Your registration will be confirmed by phone or email.
- Siblings: Reduced rate for 1 sibling of the registered child in Mixed Ages, Babies, or 3's Up Class is $85. Please call, 831-438-3514, about rates for more than one sibling.
- Refunds: Registration fees are non-refundable. No tuition refunds are given after the first day of class. Tuition refunds granted prior to the first day of class will be charged a $20 processing fee. Credit toward future classes issued only in exceptional circumstances.
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