Note: Registration online is available for Cornwall, Washingtonville, Goshen & Wallkill. To register for Monroe at the South Orange Family YMCA, please call them at 782-9622 for tuition fees. Do Not Complete This Form.
Shown below are the prices for one child for each location / session if paid by check. There is a processing fee if you pay online via PayPal (this will be show in the total).
Fall
Winter Start Date
Spring
Registration fee: A registration fee of $18.00 for all first time students. This is a one time fee. Siblings registered in the same semester pay only the $18.00.
Cornwall
11 weeks / $207
10 weeks / $187 Wed., Jan. 4th
10 weeks / $187 April 4th
Goshen
10 weeks / $187 Thur., Jan. 5th & 6th
10 weeks / $187 April 12th
Washingtonville
9 weeks / $168 Sat., Jan. 6th
9 weeks / $168 April 14th
Wallkill
9 weeks / $168
9 weeks / $168 Tues., Jan. 10th
9 weeks / $168 April 3rd
Monroe*
10 weeks $175 non-members $145 members Dec. 19th
10 weeks $175 non-members $145 members Mar. 19th
*MONROE ONLY (please register at the SOUTH ORANGE FAMILY YMCA, 45 Gilbert Street Extension. They accept credit cards, checks or cash. Make your check out to YMCA) call them at 782-9622
Discounts: Register for 2 or more sessions and take a 10 % of total (one discount per family) or register for 2 siblings and take a 10 % discount. Third child is half price. (one discount per family).
Free CD given to all children entering a new age group.
Child's Name Birth Date--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember --12345678910111213141516171819202122232425262728293031 --198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011 Music for What Age?SelectBabies (3-13 months)Music for 1-2'sMusic for 2-3'sMusic for 2-4'sYoung Musicians for 3-4'sYoung Musicians for 4-5'sYoung Musicians for 3-5'sMixed Ages LocationSelectCornwallGoshenWashingtonvilleWallkill Which Session(s)?Fall Winter Spring Has child attended before?Yes No
(First Choice) DaySelectMondayTuesdayWednesdayThursdayFridaySaturday (First Choice) Time
(Second Choice) DaySelectMondayTuesdayWednesdayThursdayFridaySaturday (Second Choice) Time
Check here to add a 2nd child
2nd Child's Name Birth Date--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember --12345678910111213141516171819202122232425262728293031 --198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011 Music for What Age?SelectBabies (3-13 months)Music for 1-2'sMusic for 2-3'sMusic for 2-4'sYoung Musicians for 3-4'sYoung Musicians for 4-5'sYoung Musicians for 3-5'sMixed Ages LocationSelectCornwallGoshenWashingtonvilleWallkill Which Session(s)?Fall Winter Spring Has child attended before?Yes No
Check here to add a 3rd child
3rd Child's Name Birth Date--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember --12345678910111213141516171819202122232425262728293031 --198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011 Music for What Age?SelectBabies (3-13 months)Music for 1-2'sMusic for 2-3'sMusic for 2-4'sYoung Musicians for 3-4'sYoung Musicians for 4-5'sYoung Musicians for 3-5'sMixed Ages LocationSelectCornwallGoshenWashingtonvilleWallkill Which Session(s)?Fall Winter Spring Has child attended before?Yes No
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Sub Total:
$
Discounts, if any:
Registration Fee:
Total Tuition:
Different Amount:
Check this box if you have been given a different amount to pay by Musical Munchkins and enter it to the right.
Parent's Name Care Givers's Name Street Address City StateSelectAK - AlaskaAL - AlabamaAR - ArkansasAZ - ArizonaCA - CaliforniaCO - ColoradoCT - ConnecticutDC - Washington DCDE - DelawareFL - FloridaGA - GeorgiaHI - HawaiiIA - IowaID - IdahoIL - IllinoisIN - IndianaKS - KansasKY - KentuckyLA - LouisianaMA - MassachusettsMD - MarylandME - MaineMI - MichiganMN - MinnesotaMO - MissouriMS - MississippiMT - MontanaNC - North CarolinaND - North DakotaNE - NebraskaNH - New HampshireNJ - New JerseyNM - New MexicoNV - NevadaNY - New YorkOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVA - VirginiaVT - VermontWA - WashingtonWI - WisconsinWV - West VirginiaWY - WyomingNot USA Zip Code Home Phone Alternate Phone Email
Have you ever taken a Musical Munchkins Class Before? Yes No If yes, what was the last Musical Munchkins class you attended? LocationSelectChesterCornwallGoshenMonroeOther SemesterSelectFallWinterSpringSummer YearSelect198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011 How did you hear about Musical Munchkins? SelectFriendFlyerBrochureOn line searchDrove by locationAdOther- please specifiy Name of Source If this is your first time with us and you were referred by a friend please tell us their name and phone number so we may give them a credit referral fee for referring you. Monroe Classes Please Note: Classes in Monroe will be held at SOFY (Southern Orange family Y), 45 Gilbert Street, Monroe, NY. YOU MUST REGISTER THROUGH THE YMCA (all members get a discount) call: 845-782-9622 to register. Do not send payment to Musical Munchkins.
Scholarships
We would like everybody to participate in our award winning classes. We offer some partial scholarships . Please email the director at musicalmunchkinsoforange@gmail.com for an application. Scholarships are awarded on an as need basis and at the discretion of the owner as funds are available. If you would like to donate to our scholarship fund, you may make a check out to: "Musical Munchkins Scholarship fund". Thank you.
OTHER PAYMENT ARRANGEMENTS: If you would like to discuss other payment arrangements, please email me at musicalmunchkinsoforange@gmail.com.
TO REGISTER: Fill out this application. Click onto the arrows to make your choices. If you are paying online, click on the Pay Now and you will be able to pay online via PayPal. If you are paying by cash, check or money order, print a copy of your completed registration form, sign the bottom and mail it in with your payment to Musical Munchkins, PO Box 744, Walkill, NY 12589.
If paying by Mail, complete the following After Printing.
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: ________________________________
I have read our school policies and guidelines (click here to view in new window) and agree to abide by the terms and conditions set forth in these policies and guidelines.
If you are Paying Online via PayPal click the Pay Now button below. If you are paying by mail or in person, Print this complete form.
