Music for Little Hands::featuring Kindermusik, birthday parties and instruments and gifts for little hands

Fall 2010-Spring 2011 Registration

Parent's Name

Home Phone:

Re-enrolling family address and phone on file. Indicate any changes below.

Address:

City:

Zip Code:

Cell Phone:

E-mail Address

Oldest Child's Name:

Birth Date:

Class Selection	Semester	Location	Day	Time	Cost

2nd Choice, if desired

1st Sibling (or 2nd Class)

Birth Date:

Class Selection	Semester	Location	Day	Time	Cost

2nd Choice, if desired

2nd Sibling (or 3rd Class)

Birth Date:

Class Selection	Semester	Location	Day	Time	Cost

2nd Choice, if desired

2009-2010 Kindermusik Class Rates 2 semesters per year
Level # of classes per semester	1 Semester (Fall or Spring)	Full Year (2 semesters)
Sign & Sing (6 months - 3 yrs) 10 classes	$275	---
Family Time (6 months - 7 yrs) 10 classes	$240	$440 Save $40
Village (newborn - 18 mos) Monroe: 15 classes Southbury & Fairfield/Bridgeport: 12 classes	Monroe: $335 Southbury & Ffld/Bprt: $278	Monroe: $630 Save $40
*8-Week Village (newborn -18 mos) 8 classes-LATE FALL OR SPRING (if room in existing classes.)	$180 + $20 reg fee if new family
Our Time (1 1/2 - 3 yrs) Monroe: 15 classes Southbury & Fairfield/Bridgeport: 12 classes	Monroe: $335 Southbury & Ffld/Bprt: $278	Monroe: $630 Save $40
Imagine That! (3 - 5 yrs) Monroe: 15 classes Southbury & Fairfield/Bridgeport: 12 classes	Monroe: $345 Southbury & Ffld/Bprt: $288	Monroe: $650 Save $40
Young Child I-II (K - 2nd Grade) 30 classes (full year only)	N/A	$700
Young Child III-IV (K - 2nd Grade) 30 classes (full year only)	N/A	$700
* Registration for Late Fall and Late Spring 8-Week Village classes begins 10/1 and 3/1 for continuing classes that have openings.

FEES, DISCOUNTS & REFUNDS

Registration fee: $20 non-refundable registration for new families

Refunds: If registration is canceled 2 weeks or more prior to the start of the semester, a full refund will be issued, minus a $50 fee. If registration is canceled LESS than 2 weeks prior to the start of a semester, a 50% refund will be issued, minus a $50 fee. NO REFUNDS WILL BE ISSUED once the semester has begun. Requests for canceled registrations must be submitted in writing. The New Family Registration fee is nonrefundable.

Multiple Class Discount: 20% discount for 2nd class in same semester

Sibling Discount: 20% sibling discount for younger siblings
Same Class Discount: 40% off for additional siblings in same class. (One set of home materials.)

Pro-rate Discount: you may enroll at any time during the semester, provided there is space. Missed classes are pro-rated.

Home Materials Discount: Home Materials are required and cost is included in tuition. However, if you have Home Materials for the particular theme and level from an older sibling’s prior participation, please call the studio for your discount amount.

Full Year Discount: Village, Our time and Imagine That! classes are offered at a discounted
rate when you register for a full year.

PAYMENT
Full tuition or 1st payment with credit card information must be received to complete registration.

PAYMENT OPTIONS A. Payment in Full at time of registration for Full Year (must register before the first class of the semester) B. Four Monthly installments (Auto pay only): Four equal installments paid with registration, 10/1, 11/1 and 12/1 for Fall semester. Paid with registration and 3/1, 4/1 and 5/1 for Spring Semester. C. Eight Monthly installments (Full year registration & Auto Pay only) Eight equal installments paid with registration, 10/1, 11/1, 12/1, 1/1, 2/1, 3/1, 4/1 AUTO PAY (Credit Card Required): Payments automatically charged to your MC, Visa or Discover Card. Signature and credit card information given at the time of registration authorizes Music for Little Hands to charge your card of the agreed amount based upon payment option chosen.	Paymen t option:
	Tuition:	$
	Registration Fee (new families only):	+ $
	Discounts:	- $
	Total Due:	= $
	Payment	$
	Balance Due	$
	Once you submit the Registration form then you will automatically be taken to the online payment page. No credit card number is needed on this page.

Music for Little Hands, LLC has my permission to use my child's and my photograph in future publications, web pages and other promotional materials used by and representing Music for Little Hands, LLC. I understand that there will be no compensation to me for this use.
Yes No

I hereby release Music for Little Hands, LLC, its faculty, employees and all host locations of liability, personal injury, loss of personal property and harm while I or my child are at any of their facilities. I acknowledge that I have read and understand all of the information contained in this registration form and agree to all terms and conditions. In addition, by signing below I agree to the terms of my payment schedule, all that is stated above, as well as all studio policies.

Signature
Date

Music for Little Hands, LLC
115 Main St., Monroe, CT 06468

for more information call or e-mail:
(203) 452-8252
info@musicforlittlehands.com