Family Music Makers Registration Form--Fall MOM'S NAME(S)  DAD'S NAME(S)  ADDRESS APT NUM CITY STATE ZIP  TELEPHONE DAYTIME PHONE EVENING PHONE E-MAIL ADDRESS I PREFER TO RECEIVE INFORMATION BY:  E-MAIL   US MAIL OCCUPATION (Optional) MOM DAD PARENTS, PLEASE DESCRIBE YOUR MUSIC/DANCE  BACKGROUND AND/OR INTERESTS: My child(ren) will come to class with our  nanny.  Nanny's name: 1st CHILD'S NAME DATE OF BIRTH 2nd CHILD'S NAME DATE OF BIRTH 1st CHOICE LOCATION DAY TIME 2nd CHOICE LOCATION DAY TIME   Tuition for First child:  .............................................................. $180.00 Discounted Fee for sibling 1 year or more*................................$150.00 Discount tuition for sibling 7 - 11 months*..................................$100.00 Siblings Six (6) Months or younger*............................................FREE! Registration Fee (per family)........................................................$10.00 Total amount  .........................................................................$_________ *As of the first day of class PAYMENT OPTIONS Check enclosed             Please charge my Mastercard VISA Card Number ___________________________________ Exp Date ____ / ____ Signature  _______________________________ REGISTRATION DEADLINE/REFUND POLICY The Registration Fee is non-refundable. WITHDRAW BEFORE CLASSES START: Full tuition refund will be made ONLY before the first class. UNFORTUNATELY TUITION REFUNDS CANNOT BE MADE AFTER THE FIRST DAY OF CLASS. We apologize for the inconvenience. Please send your check made payable to Family Music Makers with this completed  form to: Family Music Makers, 5 Bigelow St. Brighton, MA 02135 Need more information? Please call 617-783-9818 or email us at register@familymusicmakers.com.  Thank you!!