Request for information

 



 

Name
Address
City
State Zip

Daytime phone

Evening phone

Email (e.g., yourname@domain.com)

 

 

About your child/ren:

Name Age Boy Girl

Name Age Boy Girl

 

 

Preferred location (select all that apply):


 

 

I am interested in enrolling my child in (check all that apply):

Kindermusik Village (newborn to 18 mos.)

Kindermusik Our Time (18 mos. to 3 yrs.)

Musikgarten "Family Music" (18 mos. to 3 yrs.)

Musikmaking (3 to 6 yrs.)

 

 

Do you participate in a Mother's Group? Nanci will bring the class to you!

Yes, please contact me with your availability.

Our group meets on: in the (time):

 

 

Birthday Parties!

Do you have a birthday coming up? Nanci will delight the troops with her bag of musical tricks, silly songs and captivating activities.

Yes, please contact me with party information.

 

 

 

Anything else you'd like to know? Please send us your questions or comments: