
 |
 |
Musical Munchkins Registration Form New Paltz Fall 2010
Please include check payable to Musical Munchkins with registration. Print, fill out and mail to:
Musical Munchkins
PO Box 68
Bloomington, NY 12411
(845) 802-3794 contact: veronica@musician.org
Child's Name Date of Birth: / /
Parent's Name
Address:
City: State Zip
Phone# Cell/Work #
E-mail address: (please write clearly)
Classes start Wednesday, September 22, 2010 and end December 11
Please indicate which class you are registering for:
Saturday
____1’s and 2’s 9:30
____2’s and 3’s 10:30
____3-5’s Young Musician 11:30
Wednesday
____mixed ages (1-5)
____Babies (4 mos. To 1 year)
Please indicate all that apply:
____10 week program $180
____$10 registration fee (waived if paid in full by the first day of class)
____Siblings and multiple classes are 50% off ($90)
____ total
Thanks so much for making music with us!
Saturday
____1’s and 2’s 9:45
____2-4 year olds 10:45
____4’s and 5’s Young Musician 11:45
Wednesday
____Babies, 1’s and 2’s 9:30
____1-3 years 10:30
____Just Babies (5 to 13 months) 11:45
Please indicate all that apply:
____7 week program $126 ____Siblings and multiple classes $75 ______ total
Thanks so much for making music with us!

|