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To Register: Print Form and Mail

Please print this form and return along with your payment.
Please note classes fill up quickly and space is limited!

Tuition
$170.00 1st child

$110.00 sibling over 8 mos old

$20.00 New family registration fee
----------------------------------------------------------------------------------------
Semester: Winter 2009
Today’s Date __________________

Parent’s Name___________________________Address_________________________________
City________________________ Zip________Home Phone_____________________________
Work Phone______________________________Cell Phone_______________________________
Email Address____________________________

Child <___________________DOB__/__/___
Child >___________________DOB__/__/___
Child &___________________DOB__/__/___

Name of person attending with child(ren):
__________________________________

Relationship to child(ren) (circle one)
Parent Grandparent Nanny other__________
Additional information your would like us to
know about your child:____________________
_______________________________________

Class Choice (please indicate 1st, 2nd, & 3rd)

Dance Arts Location
Tue 10:30am___ Tue 11:45am____

St. Monica’s Location
Monday 10am___11:15am____12:15pm___
Thursday 10am___11:15am___12:15pm___

1st Child $170.00

Sibling over 8 mos $110.00

Sibling under 8 mos. Free!

New Family Registration
Fee $20.00

Total Payment Enclosed $___________

Please make your check payable to Music Together of Naples and mail to :
4775 Shearwater Lane, Naples, Florida 34119

Important Policy Information
Registration Period: Registration is on a first-come, first-serve basis.

Your registration will be confirmed either by phone or e-mail. We cannot guarantee your first choice, but will do our best to honor your request
.
Tuition/Fees: First registered child is $170. Tuition for siblings over 8 months is $110. Siblings under the age of 8 months

A $25 bank fee will be charged for all returned checks.

Refunds: Tuition less $20 registration fee will be refunded prior to the first class only. After that, credit toward future semesters may be issued in exceptional circumstances at the discretion of the director.

Class Availability: Class schedule may be adjusted due to insufficient registration.
Please print out the above information and mail to :

4775 Shearwater Lane, Naples, Fl, 34119

Please do not fill out the form below as we do not accept credits cards at this time.



*Your Name:
 
*Mailing Address:
 
*City:
 
*State/Province:
 
*Zip:
 
*Phone:
 
Other Phone:
Type (work, cell, etc):
*Email:
Contact Preference:
 
 
* Child's Name:
*Birthdate (mm/dd/yy):
Child's Name:
Birthdate (mm/dd/yy):
Child's Name:
Birthdate (mm/dd/yy):
 
 
 
 

Class 1st Choice

*Location: *Class Type: 
 
*Class:
<Select location and class type first>

 
 
 
 

Class 2nd Choice — Please select a second class in case your first choice is unavailable.

Location: Class Type: 
 
Class:
<Select location and class type first>

 
 
Waitlist OK?
 
 
 
 
Comments:

 
 
How did you hear about us:

* - Required information.

 
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