Kindermusik of the Valley Enrollment Form

Thank you for your enrolling in Kindermusik! We promise that this class will delight both you and your child! If you have any questions don't hesitate to contact me at 952-412-0265 or helen.peterson@mchsi.com

Contact and Student Information

Parent Name *

Last Name *

Child's Name *

Last Name *

Birthdate

Email Address *

Home Address *

City *

State *

Postal Code *

Preferred Phone *

Emergency Phone

Choose a class, day, and time

NEW!! Kindermusik Cuddle & Bounce for babies 0 through 1 year

NEW!! Kindermusik Sing & Play for babies 1 through 2 years

Kindermusik Wiggle & Grow for children 24-36 months

Kindermusik Wiggle & Grow All Ages Class for children 6 months-6 years

Kindermusik Laugh & Learn for children 3-4 years

Kindermusik Move & Groove for children 4-5 years

All classes are $68.00 per month Credit Card or automatic on-line bill pay is preferred and will be charged the 1st of each month. To pause enrollment and stop auto payment, simply contact us 1 week before the new month. *

Allergies or Special Information

Payment Information

Payment Choice *

Report abuse

Thank you for your registration. If you have any questions, please don't hesitate to contact us at 952-412-0265 / helen.peterson@mchsi.com

We occassionally like to share the joy of Kindermusik through photographs on our facebook page and website. This registration form serves as our permission, however if you request that you or your child is not in our photos we will honor that request.