Kindermusik with Wendy Jones:: summer Registration 2010

Registration and Prices: Summer 2011
Classes begin the week of June 20th
see schedule for number of classes and beginning dates for each session

To register please submit this registration form
and follow the direction to pay with paypal.
Please Register each child individually.

Summer Prices
4-Week Session
Total	$65
Same class sibling: $40
Diff class sibling: $50
5-Week Session
Total	$80
Same class sibling: $50
Diff class sibling: $65
1-Week Camps
Total	$110
Same class sibling: $90
Single Playdates
Total	$10
Additional child: $5 ea

Child's Name:

Birthday:

Parent/Guardian:

Address:

City/Zip:

Phone:

e-mail:

Any special needs of which I should be aware:

Please list Class Codes.

Class Level / Day / Class Code

1st:

2nd:

3rd:

4th:

5th:

First ClassTotal:

Second Session Total:

Playdate Total:

Discount/ Promotion

Total Enclosed:

Your signature is required
*Please sign before returning form; your signature is required. I do hereby release and forever discharge Wendy Jones and the owners of any facilities where she teaches from any and all actions, claims, and demands for, upon, or by reason of damage, loss, or personal injury which may be sustained by my child or myself during the course of, or as a result of, this musical activity.

* Signature
Please Sign

Date:

* required

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Wendy Williams, B.Mus., MT
Licensed Kindermusik Educator
click link above for biography

(716) 604-4541
email: kindersinger@yahoo.com