Summer 2008 Registration
To register please submit this registration form
and follow the direction to pay with paypal.
Parent/Guardian *
Address
City/State/Zip
Email *
Phone
1st Child's Name
Date of birth
Allergies
1st choice:
Location / Day / Time
2nd choice:
Location / Day / Time
Materials Yes No
1st Child Total $
2nd Child's Name
Date of birth
Allergies
1st choice:
Location / Day / Time
2nd choice:
Location / Day / Time
Materials Yes No
2nd Child Total $
Grand Total $ (Use this total for you paypal payment)

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.
Parent's Signature
Date
* required

| Home | Fall 2008 | Winter/Spring 2009 | Registration & Fees | Locations |
| About the Educators | KinderNEWSik | Studio Policies |

If you have any question, please e-mail or call us!
Kindermusik by the falls

Ardis Billey
8281 Dines Road
Novelty, OH 44072
(440) 338-5508

e-mail: info@kindermusikbythefalls.com