Parent's Name:
Caregiver's Name:
Street Address:
City:
State:
Zip:
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - Washington DC
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
Not USA
Home Phone:
Alternate Phone:
Email:
CLASS SELECTION
To view our schedules and
class descriptions please use navigation links above .
1st Child's Name:
Birth date:
January
February
March
April
May
June
July
August
September
October
November
December
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
For which semester(s) are you registering?
FALL
WINTER
SPRING
SUMMER
Music for What Age?
----------------------------------------------------------
Babies (4-13 months)
1 & 2's (13-24mos)
2's & 3's
Young Musicians for 3 & 4's
Young Musicians for 4 & 5's
Family & Friends (1-4yrs)
(First Choice) Day:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Time:
Location:
Chester
Cornwall
Goshen
Monroe
Pine Bush
New Windsor
(Second Choice) Day:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Time:
Location:
Chester
Cornwall
Goshen
Monroe
Pine Bush
New Windsor
2nd Child's Name:
Birth date:
January
February
March
April
May
June
July
August
September
October
November
December
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
For which semester(s) are you registering?
FALL
WINTER
SPRING
SUMMER
Music for What Age?
----------------------------------------------------------
Babies (4-13 months)
1's & 2's (13-24mos)
2's & 3's
Young Musicians 3's & 4;s
Young Musicans for 4 & 5 yrs
Music for 3 1/2 -5 yrs
Family & Friends (1-4 yrs)
(First Choice) Day:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Time:
Location:
Chester
Cornwall
Goshen
Monroe
Pine Bush
New Windsor
(Second Choice) Day:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Time:
Location:
Chester
Cornwall
Goshen
Monroe
Pine Bush
New Windsor
ADDITIONAL
QUESTIONS -
required fields
Have you ever taken a Musical Munchkins class
before?
YES
NO
If
no , how did you hear
about us?
Publication
Brochure
Friend
Flyer
Other
Name of Source:
If this is your first time with us and you were refered by a
friend who has been registered in our classes, please
tell us their name ____________and phone number_______so we
may give them a credit referral fee for refering you.
If
yes , what was the last
Musical Munchkins class you attended?
What Location?:
Chester
Cornwall
Goshen
Monroe
Walden
other
Semester?:
Fall
Winter
Spring
Summer
Year?:
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
Music for What Age?
----------------------------------------------------------
Babies (4-13 months)
Baby/Ones (older babies & young ones)
1's & 2's
2's & 3's
3 1/2- 5 yrs
family & friends (1-5yrs)
3's & 4's
4's & 5's
Name of child that
attended
How long did you attend?
CALCULATE YOUR TOTAL
Musical
Munchkins 2009/2010 Tuition
Babies (3 mos to walkers)
Babies, 1-2,, 2-3, ,Family & Friends-45 min
Young Musicians 3 & 4's
Young
Musicians 3-5 yrs old
60 minutes
(older siblings welcome
SUMMER 2010
6 weeks- $125
6 weeks-
$125
6 weeks- $125.00
SUMMER ONLY: V ACATION DISCOUNT:
If you can only attend 5 classes out of
the six for
G oshen, Cornwall , Monroe, or
Pine Bush and you won't be able to make-up
classes ,
you may
take $10.00 off the week you will not
be here
vacation date *required field
(THIS MUST BE FILLED OUT UPON REGISTRATION
OLDER SIBLINGS (6 yrs old and up) ARE WELCOME IN ANY OF OUR
CLASSES AT HALF PRICE
Save 10% each when registering two or more children-
get a $10.00 credit referral fee when you refer
someone new to our program who signs up for a full session-
Name of
person referred________________________class______location______semester_____year________
SUMMER ONLY: FREE REGISTRATION
FEE
FALL, WINTER AND SPRING-NEW STUDENTS- *one time registration fee of $18.00:
(for all new students to Musical Munchkins enrolling for the
first time in our classes- siblings registered in the same
class pay only one fee, siblings registered in different
classes pay only $25.00- This is a one time fee for as long
as you are registered in our program.
Tuition:
less discounts (if applicable):
Total Tuition:
registration fee (if
applicable):
amount enclosed:
PAYMENT arrangements: We
would like everybody to participate in our wonderful musical
programs, so if you would like to discuss the possibility
of other financial arrangements, please call our office and
we will be happy to work with you.
SCHOLARSHIPS:
We also offer some partial and full
scholarships. You can email us at
munchkns@frontiernet.net and we
will email you an application or call us at 895-1387 and we
will mail you an application. Scholarships are awarded at
the discretion of the director.
If you would like to contribute to our scholarship fund
please make checks payable to : Musical munchkins
scholarship fund. Amount Donated; $____________. Thank
you for your contribution
for start dates - please see our schedules section.
dates are approximate - please call office to confirm start
date of your class
terms of registration -
Please go to Policies and guidelines .
Please read and then sign below.
1
.REGISTRAITON FEE -
All new students pay a one time
registration fee of $18.00 . Registration fee is
FREE for all new students enrolled in our summer session.
. If you are
registering more than one child in the same class you pay
only the one fee of $18.00.
If you are registering 2 or more children in
different classes
that are new to our program, you pay a one time fee of
$25.00.There are no Subsequent fees in other semesters.
2.
REFUNDS AND CREDITS –
Refunds or credits
can only be issued before class has started and with written
notification only. . Credits are issued only in extenuating
circumstances. Registration fees are non-refundable and will
be deducted from your tuition .If we should cancel due to
insufficient enrollment a full refund
of tuition and registration fee
will be issued.
* We reserve the right to cancel any class with insufficient
enrollment.
3.
RETURNED
CHECKS - There
will be a $15.00 fee charged to your account f or any
returned checks for insufficient funds.
4.
REGISTRATION -
Registration is
on a first come first serve basis along with Your tuition
payment Classes tend to fill up quickly, so please register
early in order to get your first choice. A full refund will
be issued.
5 .
CONFIRMATION:
Please call or e-mail us to confirm your registration and
exact start date.
Please go to our class calendar located on our website:
www.musicalmunchkins.net .
You will be notified
only if you have not received you r
first choice, or in the case of a class cancellation of time
change.
6.
CLASS CANCELLATIONS:
C lasses may be cancelled
due to teacher illness or inclement weather. For snow
closings, log onto our website:
www.musicalmunchkins.net
You can also call the office after 8:00 am for a
recorded announcement. If schools in your location are
closed we usually will be as well, however,
if schools in you
location are delayed, please call as we often will still
meet. We will make every effort to reschedule lost
classes at the end of the session.
Please check
calendars for scheduled makeups.
7. MAKE-UPS:
If you miss one of your
weekly classes you may call to reserve a place in another
class as long as space permits. Please call the office at
895-1387 the evening before to schedule a make-up.
Please understand
that our class sizes are limited, and we cannot guarantee
make-up availability in every situation.
Make-ups must be taken within the semester and
may not be carried over to the following session.
8. ILLNESS:
If you or your child is sick
please refrain from attending classes in order to insure the
well being of all of our families. If your children or
yourself have been exposed to a contagious ailment, please
notify the office immediately so that we can inform the rest
of the parents in class. We wash
instruments and props, but I highly encourage you to wash
hands before and after class or use antiseptic wipes.
9.
SIBLINGS: If you
are enrolled in a class with your 1, 2 or 3 year old , you
may bring a small baby to
class. However,
once the baby begins toddling and becomes an active member
of class other arrangements willl need to be met.
You will find that your older child needs your full
attention in class.
If you cannot find a sitter we ask that you consider
our family and friends class if offered or speak to me about
the options available in enrolling your Child in your
current class. I
understand that with school closings and
holidays, you may
need to bring your older child on occasion.
This is permitted.
However, we ask that you enroll them in the class if
they will be coming every week.
10. PRO-RATE:
If you are
joining late , we will be happy to pro-rate your tuition
after the 2nd class as long as there is room.
You can make up
classes that
have been missed
in any of our locations.
I have read our school policies and guidelines and
agree to abide by the terms and conditions set forth in
these policies and guidelines.
I (Please Print)
_________________________________________ understand that
Musical Munchkins and affiliates, including the location
center in which classes are held, are not responsible for lost, stolen or damaged property, or personal injuries. I
release Musical Munchkins or any affiliate of the Center
from any and all liability past, present or future as the
laws pertaining in this matter may allow,
SIGNED:________________________________________________________
DATE: ________________________________
WHERE TO SEND YOUR TUITION:
Send to
Musical Munchkins, P.O. Box 744,
Wallkill, NY 12589.
and Registration fee if applicable payable to
Musical Munchkins.
Please send both to P.O. Box 744 Wallkill, NY
12589. ( Checks or money orders. Sorry, we do not
accept credit cards.)
For Saturday classes
-at the New Windsor Recreation Dept . (fall, winter , spring
classes only- no classes offered in summer in this location) you must register
by calling them at 565-7750 or going to their website at
www.nwrecisfun.com
or you can email Matt Veronesi at
mveronesi@town.new-windsor.ny.us .. Please do not send
registrations or fees to Musical Munchkins. They accept
credit cards,
cash or checks. Thank you.
office use only:
check# Amount:
Check Date:
start date: