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Musical Munchkins of Orange County P.O. Box 744, Wallkill, NY. 12589, 845-895-1387 REGISTRATION FORM FALL, WINTER, SPRING 2008/2009
TO REGISTER: Fill out this application on line . Click onto the arrows to make your choices. Print a copy of your completed registration form. Sign the bottom and mail it in with your payment out to Musical Munchkins and send to the above address. |
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Parent's Name: Caregiver's
Name (if attending class with child): |
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Address: City: State: Zip: Home Phone: Alternate Phone: E-mail : |
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1st Child’s Name: Birthdate:
For which semester's are you registering? Fall ___Winter___Spring___ Music for What Age? (1st choice) Day: Time: Location: (2nd choice) Day: Time: Location: |
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2nd Child’s Name: Birthdate: For which semester's are you registering? Fall ___Winter___Spring___
Music for What Age?
(1st choice) Day: Time: Location: (2nd choice) Day: Time: Location: |
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ADDITIONAL
QUESTIONS Have you ever
taken a Musical Munchkins class before? If
no, how did you
hear about us? Name of source:
If
yes, what was the last Musical Munchkins class you
attended? What Location?
What
Semester? What
Year?
Music for What Age?
How long did you attend?
CALCULATE YOUR TOTAL
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