Name of Child *
Gender of Child * Male Female
Date of Birth (mm/dd/yyyy) *
Age as of September 1 (years, months) *
Student is * New Returning
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
None Monday 3:00 Nancy Hall Wednesday 11:30 Nancy Hall
Village (newborn to 18 months) Class Day & Time
None Monday 11:30 Micki Phenix Monday 6:00 Julie Oudin Tuesday 10:30 Penni Biehl Tuesday 11:20 Nancy Hall Tuesday 1:15 Penni Biehl Wednesday 10:20 Becky Ray Wednesday 4:00 Julie Oudin Thursday 11:20 Penni Biehl Friday 9:30 Julie Oudin
Our Time (18 months. to 3.5 years) Class Day & Time
None Monday 9:30 Micki Phenix Monday 10:30 Becky Ray Monday 5:10 Julie Oudin Monday 6:20 Laetatia McMullin Tuesday 9:30 Penni Biehl Tuesday 10:30 Nancy Hall Tuesday 5:10 Laetatia McMullin Wednesday 9:30 Nancy Hall Wednesday 11:30 Becky Ray Thursday 9:30 Penni Biehl Thursday 10:20 Penni Biehl Thursday 1:00 Micki Phenix Friday 10:20 Julie Oudin Friday 11:10 Julie Oudin
Imagine That (3 to 5 years) Class Day & Time
None Monday 10:30 Micki Phenix Monday 11:30 Becky Ray Monday 4:00 Julie Oudin Tuesday 9:30 Nancy Hall Tuesday 11:20 Penni Biehl Tuesday 4:00 Becky Ray Tuesday 6:00 Laetatia McMullin Wednesday 9:30 Becky Ray Wednesday 10:30 Nancy Hall Wednesday 5:10 Julie Oudin Thursday 10:20 Micki Phenix Thursday 11:20 Micki Phenix Thursday 1:00 Penni Biehl
Young Child, Year 1 (4.5 to 6 years) Class Day & Time
None Monday 9:20 Becky Ray Monday 4:00 Nancy Hall Tuesday 1:15 Nancy Hall Tuesday 5:10 Becky Ray Wednesday 4:00 Becky Ray
Young Child, Year 2 (5.5 to 7 years) Class Day & Time
None Monday 5:10 Nancy Hall Tuesday 4:00 Nancy Hall Wednesday 5:10 Becky Ray
Required Home Materials Regular Materials Sibling Materials
Special Order Home Materials
Payment Options
Charge my credit card for the full amount now. Charge my credit card for the down payment now.
Payment of Balance Options *
Charge my credit card for the balance on the Early Bird discount $10 Deadline, Aug. 1. Charge my credit card for the balance on the due date, Sept. 1. Charge my credit card for half the balance on Oct. 9 and half on Nov. 6. I will bring a check for the balance by Aug. 1 for Early Bird Discount ($10). I will bring a check for the balance on the due date, Sept. 1. (Late fee of $15 after Sept. 11) I will bring two post-dated checks, each for half the balance, and dated Oct. 9 and Nov. 6.
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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