Registration Form Fall 2010 To enroll, please complete, print, then fax (630) 420-7803, phone (630) 717-0562 or mail to: The Music Suite 2867 W. 95th St., Suite 115, Naperville, IL 60564 (Please make checks payable to: The Music Suite)
Spots will be secured only with full payment. We accept checks, Visa and MasterCard
Do-Si-Do
$84/child with parent
$34 Home Materials available for purchase at first class.
Zoo Creatures $74/child with parent
The Musical Weather Report $54/child with parent
Busy Days $54 / child with parent
$29 Home Materials available for purchase at first class
Wiggles & Giggles
$54/child with parent
$48 Home Materials available for purchase at first class
Family Holiday Music Time $49/child with parent
Recommend a friend and get a 10% tuition refund! Please call for more information
Parent/Guardian:
Mailing Address:
City/Zip:
Phone:
Work or Cell Phone:
e-mail:
1st Child's Name:
Date of Birth/Age:
Class:
Day/Time (1st Choice):
Day/Time (2nd Choice):
Amount Due: 1st child:
$
2nd Child's Name:
Date of Birth/Age:
Class:
Day/Time (1st Choice):
Day/Time (2nd Choice):
Amount Due: 2nd child
$
Grand Total
$ 1st & 2nd Child
Payment Method
Payment by check (payable to The Music Suite)
Payment with credit card: Visa or MasterCard
Cardholder Name:
Credit Card Number:
Exp. Date:
Billing Address:
City & Zip Code:
I, _________________________________________________ (please sign) hereby authorize The Music Suite to apply the total (less any applicable discounts) to my credit card.
