song of the heart kindermusik maestro studio
Registration Form Fall 2010
To enroll, return the registration form with your check made
payable to: Carol Stringham, 2370 East Lynwood Drive, Salt Lake City, UT 84109
If you have any questions please call (801) 953-0416 • click here for Summer 2009 registration
Click Here for Our New
Online Payment Registration Option!
Fall Fees 2010
Village
birth to 18 months
with caregiver

15 / 45 minute class

$190 includes
tuition and materials.
Our Time
18 months to 3 1/2
with caregiver

15 / 30 minute class

$180 includes
tuition and materials
Imagine That!
3 1/2 to 5 years of age

15 / 45 minute class
Families join us for the
last 15 minutes of each class

$190 includes
tuition and materials
Young Child
Ages 5-7

15 / 60 minute class
Families join us for the
last 10 minutes of each class

$225 per semester
Includes tuition and materials
Sign & Sing
6 months to 2 1/2 years
with caregiver

10 / 45 minute classes per semester

$150 per semester
Includes tuition and materials
Family Time
 infants to 7 years
with parents

15 / 45 minute classes per semester

$280 for 2 children,
each additional is $40,
under 6 months — free!
Includes tuition and materials
** Take $30 off of your 2nd payment if an older sibling has taken the same class previously and you do not need a full set of Home Materials. Take $20 off of the 2nd payment if enrolling more than one child. Take $10 off of 2nd payment for registered referrals'

Registration Deadline: August 15 (although late registrations are accepted, the August 15 deadline guarantees receipt of your Home Materials the 1st day of class)
Student's Name:
Birthday:
Parent's Name:
Address:
City & Zip:
Home Phone:
Cell Phone:
E-mail:
How did you hear about Kindermusik?
Program/Class Name 1st Choice (check one)
Village Our Time Imagine That!
Young Child Sign & Sing Family Time
Class Day & Time:
Program/Class Name 2nd Choice (check one)
Village Our Time Imagine That!
Young Child Sign & Sing Family Time
Class Day & Time:
Payment Options:
To secure your place in class please send in this completed form,
with fees, using the payment method of your choice:

Option 1: Pay in full for the semester (due with registration or deferred to Aug. 1) • Village, Imagine That- $190 • Our Time- $180 • Young Child 1 and 2- $225• Family Time-$280 • S&S- $150

Option 2: Pay 1/3 down (with registration or by Aug. 1) with remainder due first day of class • Village, Imagine That ($64 down $126 due first day) • Our Time ($60 down $120 due first day) • Young Child  ($75 down $150 due first day) • Family Time ($93 down $187 due first day) • Sign and Sing ($50 down $100 due first day)

Option 3: Pay in three installments - due with registration (or deferred to Aug. 1) and Sept. 8 and Nov. 1. • Village and Imagine That (first payment $64, all others $63) • Our Time (3 payments of $60) • Young Child (3 payments of $75) • Family Time (first payment $94, all others $93) • Sign and Sing (3 payments of $50)  Credit Card Only
Save $30  if you have this semester’s materials from a previous enrollment.  Name of Materials:____________________________        save $20 if you are enrolling more than one child.  Please see Ms. Carol for twin pricing, questions or custom payment plans.

I am eligible for the following discounts: 
Referral Sibling Discount Home Materials Discount
Total Enclosed = $
Make checks payable to Carol Stringham
or fill in your credit card information:
Credit Card: Visa Mastercard Discover Amer Express
CC Number:
Exp. Date
Security Code
If paying by credit card I authorize Song of the Heart to apply the amount due under the selected payment option. With this enrollment, I release any and all rights and claims for damages against Song of the Heart and its Staff in the unlikely event of injury sustained by myself or my child(ren) during the course of or as a result of this musical activity.

You have my permission to send me class related emails

You have my permission to use photos or video taken of my child during class

I understand that my enrollment is for the full 15 week semester which runs Sept. 6 2010 through January 21, 2011
Signature:

Home • Kindermusik Classes • Fall Schedule • Registration Options • Birthday
• FAQs • Summer Schedule • Meet the Staff • Courtesy Information

Classes taught at
The Children's Ballet Theatre
2505 East 3300 South
Salt Lake City, UT 84109
(driving directions)



Attn: Carol Stringham
2370 East Lynwood Drive • Salt Lake City, Utah 84109
Phone: 801-953-0416

(sorry, you cannot reach me at the Ballet Theatre. Please leave me a message and I will return your call)

kmcarol@comcast.net