First & Last 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 New Student, Returning Family
Special needs of the child (medical, behavioral)?
First & Last Name of Parent(s) *
E-mail Address: * Street Address *
City & State *
Zip Code *
Home or Main Phone *
Cell 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 Woodlands Mommy website Kids Directory Kidstuff Directory Kidnnected Magazine Building Sign Car Sign Flyers Referral of Mommy Group Referral of friend or family Sibling of previous or current student Hometown Greetings Phone Directory
If you were referred to us by a friend or family member, please share their name with us.
If you were referred to us by a Mommy Group, please tell us which one?
Kindermusik Curricula I am enrolling this child in *
Sign & Sing (6 months to 2 years) Village (newborn to 18 months) Our Time (18 months to 3.5 years) Imagine That (3 to 5 years) Young Child Year 1 (4.5 to 6 years) Young Child Year 2 (5.5 to 7 years)
Class Day & Time *
Required Home Materials & Tuition *
Sign & Sing Regular Materials & Tuition $225 Sign & Sing Sibling Tuition $150 Sign & Sing Session A Materials & Tuition $120 Sign & Sing Session B Materials & Tuition $120 Sign & Sing Session A Sibling Tuition only $75 Sign & Sing Session B Sibling Tuition only $75 Village Regular Materials & Tuition $275 Village Sibling Instrument & Tuition $225 Our Time Regular Materials & Tuition $275 Our Time Sibling Materials & Tuition $250 Imagine Regular Materials New Student, Backpack, Tuition $290 Imagine Regular Materials Returning Student & Tuition $285 Imagine Sibling Materials, Backpack, Tuition $270 Imagine Sibling Materials & Tuition $265 Young Child Year 1 Regular Materials, Tuition $325 Young Child 1 Sibling Materials, Bag, Glockenspiel, Tuition $317 Young Child 1 Sibling Materials, Tuition $276 Padded Glockenspiel Bag $14 (optional) Young Child 2 Regular Materials, Tuition $325 Young Child 2 Sibling Materials with a Dulcimer, Tuition $315 Young Child 2 Sibling Materials $276 Young Child 2 NEW Student, Regular Materials Plus Bag & Glockenspiel. $345 Special Order. Describe in the next question box
Special Order Home Materials. Tell us what you need.
Apply these discounts or offers to my registration.
None Early Bird FREE Download Music Card. Register by August 1. Early Bird Full Payment 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. SM&B NEW Family. $10 off. SM&B Returning Student. $5 off. Kidnnected Magazine offer for NEW FAMILIES.
Payment Options *
Charge my credit card for the full amount now. Charge my credit card for the down payment of $100 (minimum to enroll). I am bringing payment within 3 days. Registration will be voided after 3 days.
Payment of Balance Options *
I am paying in full and have no balance. Charge my credit card for the balance on the Early Bird Discount deadline of August 1 (save $10). Charge my credit card for the balance on the Due Date of Sept. 2. Charge my credit card for half the balance on Oct. 7 and half on Nov. 7 (Payment Plan) I will bring a post-dated check, within 3 days, dated Aug. 1, for the Early Bird Discount (save $10). I will bring a post-dated check, within 3 days, for the balance, dated on the Due Date of Sept. 2. (Avoid the $15 Late Fee). I will bring two post-dated checks within 3 days, each for half the balance, dated Oct. 7 and Nov. 7 (Payment Plan) (Avoid the $15 Late Fee).
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, where WE WILL APPLY the DISCOUNTS. (Although it may appear your card has been charged automatically, it is not). You will receive a statement from our office to reflect the amount charged on your card. Discount coupon codes are in the Welcome Screen of the shopping cart. Whether or not you add them you will still get the discounts if you qualify. *
Okay
By submitting this registration form, I agree to the Policy Statement: *
I understand that I am making a commitment to the length of the 15 week 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 understand that there are no refunds, except if there is insufficient enrollment for the class to make. 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 the DUE DATE of Sept. 2 or if I fail to set up a payment plan by SEPT 2. (Late Registrants are not charged a late fee.) I agree to pay the late fee of $15 if my credit card is declined on a payment plan. Please be sure to give us a credit card that is good through Nov. 7. I agree to pay a $25 NSF Fee if my check is returned for insufficient funds and I agree to bring a replacement check or credit card within 7 business days. 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 understand that the Down Payment is forfeited. I agree to have a $40 withdrawal fee applied against the remaining tuition. The remainder of the tuition after withdrawal fee, down payment and tuition at the point in time where notice was given will be credited to my in-house account for up to 12 months.
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