MUSIKGARTEN REGISTRATION

(Space is limited, please register early!)

Child’s name: ______________________________________ Date of birth: ______________ Age: ___

Sibling(s)attending: _________________________________ Date of birth: ______________ Age: ___

Sibling(s)attending: _________________________________ Date of birth: ______________ Age: ___

Parent’s name: ___________________________________________________

Address: ______________________________________________________________  

City: _______________________________ Zip: ____________

Phone: ______________________ Cell: ________________________________________

Email: ______________________________________________________________________________

Emergency Contact: _________________________________  Phone: _____________________

First Choice Class________________________


Second Choice Class______________________


Tuition: _______ Siblings: $30 each (if applicable) Materials: _________ TOTAL ENCLOSED: ____________

Please send payment & registration information to:

Ana Edwards, 4487 Amber Valley Dr., Tallahassee, 32312

893-1895 or 559-1818 cell

Thank you for enrolling!