Kindermusik with Debbie Elwood
Enrollment Form-SUMMER 2011
Mother's name
Father's name
Mailing Address
Home phone #
Cell phone #
Work phone #
email address
How did you hear about Kindermusik?
Does your child have any special needs or allergies that the teacher should be aware of?
If "friend" or "other" please explain.
All classes require a $30 deposit with enrollment (non-refundable.) Remainder is due at first class unless payment arrangements are made. Cost includes home materials and tuition. I release any and all rights and claims for damages against Kindermusik with Debbie Elwood in the unlikely event of injury sustained by myself or my child as a result of this musical activity.
By submitting this form, you agree to the conditions in the above blue box.
Peekaboo I Love You
birth - 18 months
June 7-28
Creatures-Backyard
birth and up
June 6-30
Creatures-Backyard
birth and up
July 7 - Aug 8
Peekaboo I Love You
birth - 18 months
July 5 - Aug 4
Zoo Train
birth and up
June 7-28
Zoo Train
birth and up
July 5 - Aug 2
Camp-Sounds
age 3-8
June 7-28
Camp-Tell Tale
age 3-8
July 5 - Aug 2
