Location

Renton Studio

Which class(es) would

you like to register for?

Small Group Piano   Little Mozarts   Small Group Violin

Village   Our Time   Imagine That

Young Child Year I & II    Young Child Year III & IV

Toddler Discovery Do Re Mi Three's Do Re Mi Four's

How can we get in touch with you?

Name:

EMail:

Telephone:

Cellphone:

Street Address:

City:

ST:

Zip:

Please provide the following information in the boxes below so that we may place your child in the appropriate class as soon as possible:

Child's Name

Date of Birth:

Month:   Day:   Year:

Gender

Male   Female

1st Choice Day & Time:

Day:   Time: 

2nd Choice Day & Time:

Day:   Time:

3rd Choice Day & Time:

Day:   Time:

Health Concerns (if none,

write n/a):

Developmental Concerns (if none, write n/a):

How did you hear about

Kids & Music?

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By initialing here, I have read and agree with the policies of Kids and Music.