To enroll, please complete, print, then mail your materials/registration fee to: Kindermusik by the falls, 8281 Dines Road, Novelty, OH 44072 Registration will not be complete until we receive your payment.
Parent/Guardian
Address
City/State/Zip
Email
Phone
1st Child's Name
Date of birth
Allergies
Name of class:
1st choice:
Location / Day / Time
2nd choice:
Location / Day / Time
Materials
Yes No
2nd Child's Name
Date of birth
Allergies
Name of class:
1st choice:
Location / Day / Time
2nd choice:
Location / Day / Time
Materials
Yes No
Amount Enclosed
$ (Checks payable to Kindermusik by the falls)
I do hereby release and forever discharge Ardis Hartley-Billey and faculty of Kindermusik by the falls and the owners of any facilities where they teach from any and all actions, claims and demands for, upon or by reason of damage, loss or personal injury which may be sustained by my child or myself during the course of or as a result of this musical activity.