KINDERMUSIK "MINI" SESSION ONLINE REGISTRATION

Please complete the following information to register for one of the Knidermusik "Mini" sessions being held November-December. After submitting the information, you will receive a summary of your registration by e-mail.

• STUDENT'S INFORMATION
  Last:    First:   

  Birth Date (MM/DD/YYYY): 

  Street: 

  City:  State:   Zip: 
• PARENT/GUARDIAN INFORMATION

    1 Parent/Guardian 

       Work Phone (XXX-XXX-XXXX): 

       Cell Phone (XXX-XXX-XXXX):

       E-mail: 

    2 Parent/Guardian 

       Work Phone (XXX-XXX-XXXX): 

       Cell Phone (XXX-XXX-XXXX):

• COURSE REGISTRATION
  KINDERMUSIK MINI SESSIONS - ABC, MUSIC & ME
    Saturdays, November 14 - December 19 (5 weeks) No class November 21 for Thanksgiving Holiday
    Tuition: $16 per class ($80 for 5 classes)
    Materials: $15
    Registration Fee: $10 per student, or $15 per family
 
 COURSE CODE and TITLE        TUITION & MATERIALS
                   

• PAYMENT INFORMATION

Upon submitting this form, you will be redirected to the IUPay system where you can make a secure credit card payment.

If you wish to pay by check or money order, please download a printable registration form and mail it along with your payment.

     TUITION TOTAL
Registration Fee
($10 individual / $15 family)
          FINAL TOTAL DUE
          Amount of Payment)
          BALANCE DUE
(balance due by first class session)
                   
  
                   

If you prefer not to register online, you can download a printable Registration Form to mail in along with your payment. The free Adobe® Acrobat Reader® is required to view and print the form.

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