FALL SEMESTER 2008
REGISTRATION FORM

To Register:
Fill out registration form and mail with
$75 deposit or full payment to:
Cindy Sugg
1821 Scenic Drive
Maryville,Tn 37803
Make checks payable to: Cindy Sugg
CLASSES START THE WEEK OF AUGUST 18, 2008
Child's Name:___________________________________________________

Age:_______________    Birthdate:__________________________________

Parent(s) Name:_________________________________________________

Adult attending with child -  if not a parent:_____________________________

Address:_______________________________________________________

City:______________________________ Zip:_________________________

Phone (home):____________________ work or cell:____________________

E-Mail Address:_________________________________________________

How did you hear about Kindermusik with Cindy?_____________________________________

PLEASE CIRCLE & NUMBER 1st and 2nd CHOICES.

KINDERMUSIK VILLAGE - BIRTH TO 18 MONTH
14 week semester
$230.00     *includes all classes and home materials
Monday 11:00 - 11:45am  Cokesbury Center - Cindy
Tuesday 9:30 - 10:15am Cokesbury Center - Cindy
Thursday 11:45 - 12:30pm Cokesbury Center - Lisa

KINDERMUSIK OUR TIME - 18 MONTHS TO 3 YEARS
14 week semester
$225.00   *includes all classes and home materials
Monday 9:00 - 9:45am Cokesbury Center - Cindy
Monday 10:00 - 10:45am Cokesbury Center - Cindy
Monday 5:30 - 6:15pm - Cokesbury Center - Lisa
Tuesday 10:30 - 11:15am Cokesbury Center - Cindy
Wednesday 10:00 - 10:30am Smart Toys and Books - Cindy
Wednesday 9:00 0 9:45am Cokesbury Center - Lisa
Wednesday 10:00 - 10:45am Cokesbury Center - Lisa
Thursday 9:45 - 10:30am - Cokesbury Center - Lisa
Thursday 10:45 - 11:30am - Cokesbury Center - Lisa

KINDERMUSIK IMAGINE THAT! - 3 YEARS TO 5 YEARS   
14 week semester
$230.00     *includes all classes and home materials
Monday 12:00 - 12:45pm Cokesbury Center - Cindy
Tuesday 11:30 -12:15pm Cokesbury Center - Cindy
Wednesday 11:00 - 11:45am Cokesbury Center - Lisa

KINDERMUSIK YOUNG CHILD - 5 YEARS TO 7 YEARS   
14 week semester
$260.00   *includes all classes and home materials
Semester One    Tuesday 3:00 - 4:00pm Cokesbury Center - Cindy
Semester Three  Tuesday 4:10 - 5:10pm Cokesbury Center - Cindy

KINDERMUSIK FAMILY TIME - Birth to  6 YEARS  
14 week semester
Family Fee  $320.00 *includes all classes and home material
One Child Family $235.00 *includes all classes and home material
Monday 6:30 - 7:15pm Cokesbury Center - Lisa
Wednesday 10:45 - 11:30am Smart Toys and Books - Cindy

PAYMENT OPTIONS
REGISTRATION FEE (includes all materials)         
TOTAL DUE:  $

PAYMENT:

_________ $75.00 Deposit (minimum due for registration. Balance due by first class)

_________ FULL PAYMENT

_________ CHECK

_________ Visa/Mastercard

CARD NUMBER ________________________________________

EXPIRATION DATE:_____________________

NAME ON CARD:________________________________

AMOUNT CHARGED:_____________

SIGNATURE:_________________________________

**Please print and mail registration form.  Do not send credit card information via email.
THANK YOU FOR REGISTERING
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