Early Childhood Class Registration
Parent First Name
*
Parent Last Name
*
Email
*
Phone Number
Student First Name
Student Last Name
Email
Phone Number
Student Date of Birth
Address
City
State
Zip Code
Who will be the Parent/Caretaker attending classes?
Class Options:
Monday 9am, "Baby Bebop" (Infants)
Monday 10am, "Tune Tykes" (Ages 2 & 3 yrs)
Monday 11am, "Melody Makers" (Ages 4 & 5 yrs)
Monday 4pm, "Baby Bebop" (Infants)
Monday 5pm, "Tune Tykes" (Ages 2 & 3 yrs)
Monday 6pm, "Melody Makers" (Ages 4 & 5 yrs)
Saturday 9am, "Baby Bebop" (Infants)
Saturday 10am, "Tune Tykes" (Ages 2 & 3 yrs)
Saturday 11am, "Melody Makers" (Ages 4 & 5 yrs)
Any Special Needs/Allergies?
Referral Source
Payment Info
*
Submit