Registration2

Registration (Submit this form to guarantee your spot)

* Indicates required field

Student Name *

Birthday: mm /dd /yyyy /Age *

Gender *

Parent's Name(s) *

Email *

Mobile *

Home Phone *

Mailing Address (including city/zip) *

How did you hear about us? *

Select class(es) below.

These classes will begin the week of December 3.

Class Structure: 12 weeks
Class Length: 30 minutes weekly

Toddler Tunes (Ages 1-3) *

Class Structure: 12 weeks
Class Length: 45 minutes weekly

Music in Me (Ages 3-4) *

Class Structure: 15 weeks
Class Length: 45 minutes weekly

Harmony Road (Ages 5-7) *

* Please bring your payment on the first day of the class.
* No refunds or credits will be given for missed classes.
* No refund will be available after 2nd class
* Class credit rollover to the next semester or school year is not an option.
* No photography or videotaping is allowed within the classrooms so as not to infringe upon the privacy of others.
* No food or drinks are allowed in the classroom

I release any and all rights and claims for damages against Mimi's Music Studio in the unlikely event
of injury sustained by myself or my child as a result of this musical activity.

By submitting this form, you agree to the class policies listed above

Submit