First & Last Name of Child *
Gender of Child * Male Female
Date of Birth (mm/dd/yyyy) *
Age as of February 1 (years, months) *
Student is * New Returning
Special needs of the child (medical, behavioral)?
First & Last Name of Parent(s) *
E-mail Address: * Street Address *
City & State *
Zip Code *
Main Phone Number *
Second Phone Number
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 The Bump Kids Directory Kidstuff Directory Hometown Greetings Phone Directory Building Sign Referral of Mommy Group Referral of friend or family Sibling of previous or current student Flyers PlayDate
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 *
Village (newborn to 18 months) Our Time (18 months to 3.5 years) Imagine That (3 to 5 years) Young Child Year 1 (5 to 6 years) Young Child Year 2 (5.5 to 7 years)
Class Day & Time *
Required Home Materials *
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 $285 Imagine Sibling Materials, Backpack, Tuition $270 Imagine Sibling Materials & Tuition $265 Young Child 1 Regular Materials & Tuition $325 Young Child 1 Sibling Materials & Tuition $276 Young Child 2 Regular Materials & Tuuition $325 Young Child 2 Sibling Materials with recorder & Tuition $285 Special Order Materials & Tuition
Special Order Home Materials. Tell us what you need.
Payment Options *
Charge my credit card for the full amount now. Charge my credit card for the $100 down payment now (minimum to enroll) I am bringing payment within 3 days. If payment is not received in 3 days, registration is void.
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 $10 Deadline, Dec. 16. Charge my credit card for the balance on the Due Date, Jan. 20. Charge my credit card for half the balance on Feb. 20 and half on Mar. 20. I will bring a postdated check dated Dec. 16, within 3 days, for the Early Bird Discount ($10). I will bring a postdated check within 3 days for the balance, dated Jan. 20 (the Due Date). I will bring two post-dated checks within 3 days, each for half the balance, dated Feb. 20 and Mar. 20.
Apply these discounts or offers to my registration.
None Early Bird FREE CD or music download card. Register by Dec 16. Early Bird Full Tuition Discount. Pay tuition balance by Dec. 16 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 $5 off returning student. SM&B $10 off new student.
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 ANY DISCOUNTS. (Although it may appear your card has been charged automatically, it is not). DISCOUNT COUPON CODES are in the Welcome Screen of the shopping cart. *
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 spring 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 Jan. 20 or if I fail to set up a payment plan for the balance. (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. I agree to give a credit card that does not expire before the due dates to avoid the $15 late fee. 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 agree to have a $40 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 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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