Kidstunes Enrollment Form
For a complete schedule of classes, please go to www.Kidstunes.org/locations.htm
I would like to enroll my child in weekly classes at my child's school *
(select your child's school from the list):
Child's First Name *
Your answer
Child's Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Starting Date - Please enroll at least 24 hours prior to start date *
Note: If you would like your child to begin classes mid-month, your tuition will be prorated.
MM
/
DD
/
YYYY
Parent (s) First Name *
Your answer
Parent (s) Last Name *
Your answer
Phone Number *
Your answer
E-mail Address *
Kidstunes will never share your e-mail or personal information with anyone or entity outside of Kidstunes.
Your answer
Street Address *
Your answer
City, State *
Your answer
Zip Code *
Your answer
May we take your child's picture during class for future publications? *
Tuition Rates *
One-Time Registration Fee *
Required
Coupon Code
Your answer
Referred by (child's name) - optional
(must be a currently enrolled student)
Your answer
Payment Method *
Terms of Enrollment *
Please select each box to agree to the terms of enrollment
Required
Comments
Your answer
Signature *
(please type your name here to confirm enrollment)
Your answer
Submit Form *
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