Kindermusik by the Gifted Child | Corpus Christi, TX | 361.816.3706 Kindermusik by the Gifted Child 361.816.3706
Registration & Fees (Spring 2019)
To enroll, please complete, print, then give us a call or mail this registration form with your check made payable to:
Kindermusik by The Gifted Child, P.O. Box 260014, Corpus Christi, TX 78426
Parents Name
Caregiver’s Name
(if participating in class)
Address
City, State & Zip
Please check here if this is a recent change of address.
Home Phone
Cell Phone
E-mail Address

How have you heard about us?

1st Child’s Name
Date of Birth
Class level
Day & Time
Already have this semester’s materials from a previous enrollment
Enrolling two siblings in the same class

2nd Child’s Name
Date of Birth
Class level
Day & Time
Already have this semester’s materials from a previous enrollment
Enrolling two siblings in the same class

3rd Child’s Name
Date of Birth
Class level
Day & Time

Payment Options (Please check one)
Payment in full includes a $10 discount
Family Class $260
Payment in installments
$70 at registrtion, $100 by First Class & $100 by March 5th
Total Cost =
With this enrollment, I understand that I am committing to pay for the entire semester per the payment option chosen.  I also understand that there are no refunds and that make up classes will be available for teacher absences only. Furthermore, I release any and all rights and claims for damages against Kindermusik by The Gifted Child and its staff in the unlikely event of injury sustained by myself or my child(ren) during the course of or as a result of this musical activity.
Signed
Date
Registration and Enrollment
includes materials!
$70 for Family Class
nonrefundable deposit is
required to register

or pay in full and receive a
$10 discount.

Payment
For your convenience,
we offer two payment options:
1. Pay in full at the time of registration.

2. Pay in three installments
(first pymt with reg., 2nd pymt by first class, and 3rd by March 5th

Registration is EASY!

1. Find the age-appropriate class level for your child.
2. Decide on a first and second choice for your class time.
3. Complete the enclosed registration form and return it with your payment payable to:
Kindermusik by The Gifted Child
P.O. Box 260014
Corpus Christi, TX 78426

Space in a class can not be
guaranteed and materials can
not be ordered until the deposit
has been received.

Join Our Email List
Email:
Kindermusik Licensed Educator Connie Pilarczyk
Home | Schedules | Registration & Fees | Educators | Courtesy Information | Demo Class

Kindermusik by The Gifted Child
P.O. Box 260014 • Corpus Christi, TX 78426
(361) 816-3706
kmusikwithconnie@aol.com