The Music Suite:: Kindermusik and KinderKeys Group Piano Instruction

Registration Form Summer 2008
To enroll, please complete, print, then fax (630) 420-7803, phone (630) 717-0562
or mail to: The Music Suite 32 Foxcroft #110 Naperville, IL 60565 (Please make checks payable to: The Music Suite)

Spots will be secured only with full payment. We accept checks, Visa and MasterCard

Summer 2008

Guitar Rocks (10-weeks)
1st Child $140 (Level 1 & 2)
2nd Child $119 (Level 1 & 2)

1st Child $160 (Level 3 & 4)
2nd Child $136 (Level 3 & 4)

KinderKeys (10-weeks)
1st Child $140 (Level 1 & 2)
2nd Child $119 (Level 1 & 2)

1st Child $160 (Level 3 & 4)
2nd Child $136 (Level 3 & 4)

Busy Days
Total Cost Includes tuition and materials	5 weeks $92-1st Child $76 -Sibling

Zoo Train
Total Cost Includes tuition and materials	5 weeks $92-1st Child $76 -Sibling

Family Time
Cost	5 weeks $65-1st Child $55.25 -Sibling

Summer Camps
Cost	1 week $125

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:

1^stChild's Name:

Date of Birth/Age:

Class:

Day/Time (1st Choice):

Day/Time (2nd Choice):

Amount Due: 1st child:

2^nd 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.