| SUMMER SESSION 2008 REGISTRATION FORM |
To Register: Fill out registration form and mail with $25 deposit or full payment to: Cindy Sugg 1821 Scenic Drive Maryville,Tn 37803 Make checks payable to: Cindy Sugg |
| SUMMER SESSION BEGINS JULY 7th, 8th and 10th 2008 Meeting for 4 sessions ending the last week of July |
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? ______________________________________________
PLEASE CIRCLE & NUMBER 1st and 2nd CHOICES.
SUMMER SESSION - Peek A Boo - BIRTH TO 18 MONTH
child attends with caregiver
$90.00
Monday (July 7, 14, 21, 28) 11:00 - 11:45am Cokesbury Center - Cindy
Tuesday (July 8, 15, 22, 29) 9:30 - 10:15am Cokesbury Center - Cindy
Thursday (July 10, 17, 24, 31) 11:30 - 12:15am Cokesbury Center - Lisa
SUMMER SESSION - Creatures at the Ocean - 18 MONTHS TO 3 1/2 YEARS
child attends with caregiver
$90.00
Monday (July 7, 14, 21, 18) 9:00 - 9:45am Cokesbury Center - Cindy - NEW ADDED CLASS
Monday (July 7, 14, 21, 28) 10:00 - 10:45am Cokesbury Center - Cindy
Tuesday (July 8, 15, 22, 29) 10:30 - 11:15am Cokesbury Center - Cindy
Thursday (July 10, 17, 24, 31) 9:30 - 10:15am Cokesbury Center - Lisa
Thursday (July 10, 17, 24, 31) 10:30 - 11:15am Cokesbury Center - Lisa
SUMMER SESSION - On The Road - 3 1/2 YEARS TO 5 YEARS
child participates without caregiver
$90.00
Monday (July 7, 14, 21, 28) 12:00 - 12:45pm Cokesbury Center - Cindy
Tuesday (July 8, 15, 22, 29) 11:30 - 12:15pm Cokesbury Center - Cindy
SUMMER SESSION - Tell me a Tale - 5 years to 7 years
child participates without caregiver
$90.00
Monday (July 7, 14, 21, 28) 1:00 - 1:45pm Cokesbury Center - Cindy
PAYMENT OPTIONS
TOTAL DUE: $
PAYMENT:
_________ $25.00 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.
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? ______________________________________________
PLEASE CIRCLE & NUMBER 1st and 2nd CHOICES.
SUMMER SESSION - Peek A Boo - BIRTH TO 18 MONTH
child attends with caregiver
$90.00
Monday (July 7, 14, 21, 28) 11:00 - 11:45am Cokesbury Center - Cindy
Tuesday (July 8, 15, 22, 29) 9:30 - 10:15am Cokesbury Center - Cindy
Thursday (July 10, 17, 24, 31) 11:30 - 12:15am Cokesbury Center - Lisa
SUMMER SESSION - Creatures at the Ocean - 18 MONTHS TO 3 1/2 YEARS
child attends with caregiver
$90.00
Monday (July 7, 14, 21, 18) 9:00 - 9:45am Cokesbury Center - Cindy - NEW ADDED CLASS
Monday (July 7, 14, 21, 28) 10:00 - 10:45am Cokesbury Center - Cindy
Tuesday (July 8, 15, 22, 29) 10:30 - 11:15am Cokesbury Center - Cindy
Thursday (July 10, 17, 24, 31) 9:30 - 10:15am Cokesbury Center - Lisa
Thursday (July 10, 17, 24, 31) 10:30 - 11:15am Cokesbury Center - Lisa
SUMMER SESSION - On The Road - 3 1/2 YEARS TO 5 YEARS
child participates without caregiver
$90.00
Monday (July 7, 14, 21, 28) 12:00 - 12:45pm Cokesbury Center - Cindy
Tuesday (July 8, 15, 22, 29) 11:30 - 12:15pm Cokesbury Center - Cindy
SUMMER SESSION - Tell me a Tale - 5 years to 7 years
child participates without caregiver
$90.00
Monday (July 7, 14, 21, 28) 1:00 - 1:45pm Cokesbury Center - Cindy
PAYMENT OPTIONS
TOTAL DUE: $
PAYMENT:
_________ $25.00 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! |
