bartis' Creative Studio::featuring Kindermusik and Orff

Fall 2008 Click here for our Courtesy Information

Family Time
Total Classes	10
Class Length	45 min.
Total family with 2 children	$320
Total family with 1 children	$188
Additional children: $86 tuition plus addtional instrument or puppet if desired.

Village
Total Classes	15
Class Length	45 min.
Total	$242
Adult in attendence

Our Time
Total Classes	15
Class Length	45 min.
Total	$242
Adult in attendence

Imagine That!
Total Classes	15
Class Length	45 min.
Total	$242
Adult attends last 15 min.

Young Child 1 or 3
Total Classes	15
Class Length	60 min.
Total	$288
Adult attends last 10 min.

If you already have materials from a previous class OR if yo have two children participating in the same curriculum, please inquire about sibling packets of materials. This semester we will be doing the following units:
Village - Zoom Buggy & Dream Pillow
Our Time - Milk & Cookies
Imagine That! - Hello Weather, Let's Play Together!
Young Child - Semesters 1 and 3
Family Time - Here, There & Everywhere

Parent's Name(s):

Caregiver's Name
(if participating in class)

Address:

City/Zip:

Home Phone:

Other Phone:

e-mail:

New to program or previously enrolled

Emergency Contact:

Phone:

How did you hear about the Kindermusik program:

Does your child have health or learning challenges or Food Allergies we should know about?
yesnoPlease attach further info.

Child's Name 1:

Age/Birthday:

Choice #1:
Day/Time/Location

Choice #2:
Day/Time/Location

Total Due Child 1:

Child's Name 2:

Age/Birthday:

Choice #1:
Day/Time/Location

Choice #2:
Day/Time/Location

Total Due Child 2:

$ deduct $10 for each additional sibling

Child's Name 3:

Age/Birthday:

Choice #1:
Day/Time/Location

Choice #2:
Day/Time/Location

Total Due Child 3:

$ deduct $10 for each additional sibling

Grand Total:

registration promo
code word?

Payment Options

Payment by check

Payment with credit card: Visa or MasterCard

Cardholder Name:

Credit Card Number:

vin #

three digit number on back of card

Exp. Date:

Billing Address:

City & Zip Code:

Because materials are not re-useable, I understand my responsibility for the cost of materials, once we are registered for a class. Additionally, I understand that I have made a commitment for my child to participate in the above class. Should we find that, after the class has begun, we are unable to keep this commitment, I understand that my tuition and fees are non-refundable.

* Signature
Please Sign

Date: