Music Together of State College

Below is a form you can fill out to register for one of our classes.
Registration for SPRING 2012 IS OPEN.

SPRING session runs from MARCH 12 - JUNE 4

Tuition remains $140/1st child
$80/2nd child 3rd child is free
Siblings born 07/1/11 or later are free.
New Family reg. fee is $10, Returning Family reg. fee is $5

You do not register a child born 07/1/11 or later. Just
register their SIBLING and then bring the baby to class free.

YOU ARE PAYING FOR 10 CLASSES, BUT GETTING 11.
ALL FAMILIES GET ONE AUTOMATIC MAKEUP CLASS.

We'll confirm your registration once we have received payment. You can
select 'pay later' option and your class spot WILL be secured.

Your First Name:*
Your Last Name:*
Street Address (including apt. number):*
City:*
State/Province:*
Zip/Postal Code:*
Home Phone:*
Work Phone:
Mobile Phone:
Email:*	Contact Preference:
Referred by:

Registrants

First Name

Last Name

Date of Birth (mm/dd/yyyy)

Registrant #1

Registrant #2

Registrant #3

Class 1^st Choice

Location:	Class Type:

Class:*
<Select Location and Class Type first>

Class 2^nd Choice — Please select a second class in case your first choice is unavailable. If your first choice is full, then you must select an open class for your second choice in order to pay for and confirm your spot in the second class.

Location:	Class Type:

Class:
<Select Location and Class Type first>

* - required fields.

Music Together^® art & logo design © 1992-2011 Music Together LLC. Music Together is a registered trademark. Music Together of State College is licensed by Music Together LLC. For more locations: www.musictogether.com - (800) 728-2692

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Registrants

Class 1st Choice

Class 2nd Choice — Please select a second class in case your first choice is unavailable. If your first choice is full, then you must select an open class for your second choice in order to pay for and confirm your spot in the second class.

Class 1^st Choice

Class 2^nd Choice — Please select a second class in case your first choice is unavailable. If your first choice is full, then you must select an open class for your second choice in order to pay for and confirm your spot in the second class.