Family Music Makers: Online Registration Form

Please note: Registration is NOT complete until you receive a confirmation letter from our office! If you do not see our email within 72 hours, please call the office or email us directly.

Parent(s) Name

Address

Apt #

City

State

Zip

Daytime Phone

Evening Phone

Email

Nanny Name (if needed)

Healthworks member? Yes No
Member Number

Session: Winter, 2010

1st Child's Name Date of Birth

2nd Child's Name Date of Birth

1st Choice Location Day Time

2nd Choice Location Day Time

Payment Winter 2010

For Little Music Makers and Kidstompers classes:
Tuition (first child): $225 (includes a $40 non-refundable registration fee and tuition of $185)
Tuition: Sibling 1 yr or 1 yr + (as of November 1, 2009) $200 (includes a $40 non-refundable registration fee and tuition of $160)
Tuition: Sibling 7 – 11 months (as of September 28, 2009) $105 (includes a $40 non-refundable registration fee and tuition of $60)

Kidservatory classes:
Tuition (each child): $270 (includes a $40 non-refundable registration fee and tuition of $230)

Total Amount $

PAYMENT OPTIONS
Please charge my VISA Mastercard

Card Number

Exp. Date

Comments

How did you hear about Family Music Makers?
Word of Mouth
Other (specify)
Referred by:

Code

Refund policy: Tuition will be refunded on a pro-rated basis.

Need more information? Please call 617-783-9818 or email us at register@familymusicmakers.com. Thank you!

Remember: registration is not complete until you receive a confirmation email from the office!