Registration
5 openings left in this event!
You're registering for a Pop-Up Kindermusik Class for 1 year olds. Get ready to groove, giggle, and make special memories with your little one in this 45 minute music and movement class. To keep the music going when you head home, your registration will also include access to Kindermusik's online music library for the week. NOTE: Location for our summer pop ups is: LANES RETIREMENT LIVING, 134 Airport Heights Drive Cost: $20 plus tax for first child. Siblings in the same class are 50% off. We can't wait to see you!
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State/Prov: * Postal Code: *
Emergency Contact Info*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Are there any allergies/special needs that we need to be aware of? (We kindly request no food/snacks in our classroom, with the exception of infants still bottle/breastfeeding)*
May we use you or your child's photo or video footage for promotion of our future Intervals Music Studio events? *
 
Additional Information:
 
SUMMER LOCATION
  (Show-Hide Details)
I've read the above and agree.
 
Cancellation of event
  (Show-Hide Details)
I've read the above and agree.
 
Release
  (Show-Hide Details)
I've read the above and agree.
 
Participants
  (Show-Hide Details)
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
Country: *
City: State/Prov: * Postal Code:*