Registration Form Spring 2010

Child's Full Name: Birth Sex F M
Address Apt.#
City Zip
Mr. Ms. Mr.+ Mrs. Mr.+ Ms.
Parent's Full Name: Email
Phone home Cellular
Phone Work
Parent's Full Name: Email
Phone Work Cellular
Caregiver's Full Name:
EMERGENCY Contact:
Phone:
Pediatrician:
Phone:

MY CHOICES + $25 Fee
Choices
Choice 1
Choice 2

MONDAY
WEDNESDAY

TERMS OF ENROLLMENT - UPPER EAST SIDE LOCATION
  • Registration fee and 50% of tuition is due now . 
  • Tuition is Non-Refundable.   Parents and Guardians signing this agreement acknowledge their obligation to pay the full tuition amount for their child.  This signed agreement reserves a position in class.  The reservation pursuant to this agreement is made for the FULL TERM
  • Two  free make up music classes per term ( For children  enrolled in the Upper East Side Location ONLY) • There is a $25.00 fee for returned checks •  Video taping of some classes is needed for observation and evaluation  purposes, or for use during  presentations and teacher-training workshops • Photographs will be taken of each child to be displayed  within the MKI   location • Twins are always welcome to register for the same class. (ask for twin discount) • Schedule of classes is subject to change and cancellation • Classes fill on a first-come, first-served basis, with priority for returning students and siblings • MKI aims to always  provide substitute teachers in the language of your class.  If no teacher is available to sub in a specific language, up to TWO classes per term may be conducted in  English by one of our professional musicians.
I agree to the conditions above and wish to enroll my child in the Musical Kids International program.
We accept Visa/Mastercard & American Express - Please call (212) 996-5898

or checks payable to :
MUSICAL KIDS INTERNATIONAL
Mail payments to: Yolanda Borras
1675 York Avenue, # 29 A
New York, NY 10128