Name of Child *
Gender of Child *
Date of Birth (mm/dd/yyyy) *
Age as of September 1 (years, months) *
Student is *
Special needs of the child (medical, behavioral)?
Parent Name(s) *
E-mail Address: *
Street Address *
City *
State *
Zip Code *
Home or Main Phone *
Cell Phone (whose?)
Work Phone (whose?)
Work Phone (whose?)
New Families: What influenced you to inquire about our classes? Indicate all that apply.
Online Search
Kindermusik of The Woodlands website
Kindermusik International website
Woodlands Online website
Phone Directory
Kids Directory
Grogans Park Building Sign
Car Sign
Flyers
Referral of friend or family
Sibling of previous or current student
Other
If someone referred you, please share their name with us.
Sign & Sing (6 months to 3 years) Class Day & Time
Village (newborn to 18 months) Class Day & Time
Our Time (18 months. to 3.5 years) Class Day & Time
Imagine That (3 to 5 years) Class Day & Time
Young Child, Year 1 (4.5 to 6 years) Class Day & Time
Young Child, Year 2 (5.5 to 7 years) Class Day & Time
Required Home Materials
Special Order Home Materials
Payment Options
Payment of Balance Options *
Apply these discounts or offers to my registration.
Early Bird Registration Discount. Register by June 1 and save $5
Early Bird Full Tuition Discount. Pay tuition balance by August 1 and save $10.
Multiple Child Discount. $10 off this additional child I am enrolling.
Please pro-rate my tuition. I am enrolling late and have already missed some classes.
Early Bird FREE CD. Register by August 1.
When you click SUBMIT you will link to https://www.shop.kindermusikofthewoodlands.com, a secure place to give us your credit card information. We will not hold your place in class without payment. Your credit card will not be processed online, but will be processed in our office. You will then receive a statement from our office to reflect the amount charged on your card. *
Okay
By submitting this registration form, I agree to the Policy Statement: *
I understand that there are no refunds, except if there is insufficient enrollment for the class to make.
I understand that I am making a commitment to the length of the semester, and that missed classes may be made up only by visiting other fall classes if one exists and provided the class size is not exceeded.
I release any and all rights and claims for damages against Kindermusik of The Woodlands 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.
I agree to pay the late fee of $15 if my balance is not paid by September 11 and I have not set up a payment plan. (Late Registrants are not charged a late fee.)
I agree to pay any collection fees in the event my account is delinquent.
I agree to give written notice should I need to withdraw from the semester due to unusual circumstances. I agree to have a $30 withdrawal fee applied against the remaining tuition. I understand the Down Payment is forfeited. The remainder of the tuition after withdrawal fee, down payment and tuition to the point where notice was given will be credited to my in-house account for up to 12 months.
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