Mills and Maples Music Together, Music Together Arnprior, Music Together Almonte, Ottawa Valley, Pakenham, Clare Gallant Music Together

Registration Form

Mills and Maples Music Together

Fall 2010 Registration Form

Please fill out the form online and use the online payment features after you submit the form to complete the registration

Tuition due:

1^st child: $140
Additional sibling(s): $100
one-time registration fee: $15

***siblings up to 8 months old attend free***

Family Name: *

Parent’s Name(s): *

Caregiver’s Name (if child not attending with parent):

Address: *

City: *

Postal Code: *

Home phone: *

Work / cell phone:

E-mail address:*

I prefer my correspondence by:

E-Mail

Phone

Letter

First attending child: *

Child's Birthday*

Additional sibling(s):

Birthday(s):

Preferred class time:

Saturday 10:00am (Almonte)

Monday 10:00am (Kanata)

Tuesday 5:30pm (Arnprior)

Second choice:

Saturday 10:00am (Almonte)

Monday 10:00am (Kanata)

Tuesday 5:30pm (Arnprior)

How I heard about the program:

Please note: Registration is not confirmed until full payment is received. Classes will be confirmed by e-mail. (A fee of $25 will be charged for NSF cheques)

Mills and Maples Music Together, Music Together Arnprior, Music Together Almonte, Ottawa Valley, Pakenham, Clare Gallant Music Together

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Registration Form

Mills and Maples Music Together