Register

You can download this PDF form to register,

or use the form below.

Parent

Child No. 1

Child No. 2

From whom or how did you first hear of Kindermusik?

Please note any health problems or dietary restrictions you wish to bring to my attention. Please list any special needs or information that I need to know about your child.

I wish to enrol my child for:

Babies and Toddlers (0-2 years)

Walkers (1-2 years)

Toddlers (2 & 3 years)

Pre-schoolers (3-5 years)

Young Children (5-7 years)

I will pay my non-refundable deposit of $20.00 to reserve my child's place. I understand that if classes require a minimum of four (4) students and that if a class is cancelled due to lack of numbers, my deposit will be refunded.

Fees payable in advance at the beginning of term.
Pay via cheque, EFT, cash or online.
Cheques: payable to "Kindermusik with Simone".
156 Middleborough Rd, Blackburn South Vic 3130
EFT:
Kindermusik with Simone
Account No. 100 222 957 (BankVic)
BSB 704-230
Cash: please put money in an envelope, clearly marked with your name/child's name and amount paid.
Online: after submitting this form you will see a page with online payment details.

Note: Photos will be taken in class, to be given to the children at the end of each term Permission is sought to display photos on my website/Facebook page. If you have any objections to this, please advise.