Registration
Kathy's Music Gift Card - valued at $50. This gift card can be used toward Kindermusik Classes or Music Artistry Lessons only. It does not hold any cash value. Cardholder has 5 years from date of purchase to use this card. Must present card to our office in order to apply amount to your account.
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
 
 
 
Questions/Options:
What is YOUR name?
What is YOUR mailing address?
Do you want this gift card mailed to another address?*
If yes, provide name and address of the person to receive the gift card.*
What is your cell phone number in case we have questions about your order?*
What is your email address?*
 
Additional Information:
 
Terms of use.
I understand that this gift card can be applied to the card owner's account to be used for Kindermusik Classes or Music Artistry lessons only.
I've read the above and agree.
 
Value.
I understand the card does not hold any cash value.
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:
City: State: Zip:*