Begin your child's Kindermusik Journey Today!

Registration Deadline Summer: May 10, 2006
Registration Deadline Winter: January 14
Registration Deadline Fall: August 31
($12.00 late registration fee applies after deadlines)

Registration options:

1. Register by mail: Print out the registration form (click here to download a Word file) and mail it with your payment to:
"A Joyful Noise"
4593 Northgate Drive
Provo, UT 84604

2. Express registration available via telephone using Visa, Mastercard, or American Express.

Call 222-9321 to register over the phone.

3. Register on-line: Submit a form for each child on-line (fill in the form below), then call with a credit card number or send a check. Your place in a class will be held for 1 week if a form is submitted without payment. It will be secured when a payment is received. I am sorry I am not yet able to accept payment on-line.

Child’s Name:

Name
Date of Birth
Age
Gender	Male Female

Parent or Guardian:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone
Alternate Phone
E-mail

Choose the Appropriate Class for Your Child (Young Child classes are 15 weeks. All others are 13 weeks):
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Enter 1st Choice for Day and Time (refer to schedule):
Enter 2nd Choice for Day and Time:
Do you need to bring a sibling to class? How old? Siblings attending, but not enrolled in their own age appropriate class are subject to a $5 per class charge. This only applies to children who cannot remain in a baby carrier or entertain themselves independently. All sibling situations must be cleared in advance.
How did you hear about Kindermusik? (If your were referred by a friend, please tell me who.)
Enroll a friend and receive a FREE GIFT! (Tell me who, if this applies to you.)
FEES:
Village: $180.00 or 4 payments of $47.00
Our Time: $180.00 or 4 payments of $47.00
Imagine That!: $192.00 or 4 payments of $50.00
Young Child Year One: $231.00 or 4 payments of $60.00
Young Child Year Two: $260.00 or 4 payments of $67.00
Family time: $280 or 4 payment of $71.00.
Sign and Sing: $180.00 or 4 payments of $47.00

SUMMER PAYMENT OPTIONS:
Half or full payment due with Registration, remaining half due first day of class. There is no sibling discount for summer classes.

DISCOUNTS:
Sibling discount = $15.00 off fees for additional children
Sibling materials package
Student package (cleared with Julee)
Arian's Rainbows Scholarship

ENTER YOUR TOTAL FOR THIS CHILD:
(Reminder -- payment is due within one week to secure enrollment)

Method of Payment

Check Cash Visa/Mastercard