Home About UsClassesRegisterMusic TogetherBirthday PartiesContact Us

Register For Winter 2012 Music Classes

To print a copy of this form click here.

 
Parent's Name*
Address*
Email*
Phone Number*

###		-
###		-
####
Prefer to be contacted by*
 Phone 
 Email 
 Mail 
Child #1 Name*
Child #1 Birth date*

MM		/
DD		/
YYYY
Child #2 Name
Child #2 Birth date

MM		/
DD		/
YYYY
Child #3 Name
Child #3 Birth date

MM		/
DD		/
YYYY
Location*
 Doylestown 
 Harleysville 
 Trappe 
First Choice Class Date/Time*
Second Choice Class Date/Time*
Tuition and Fees
(check all that apply)*
 $10 Registration Fee (new families only) 
 $187 Tuition for first child 
 $135 Tuition for second child 
 $50 Tuition for third child 
Total*
Payment Method
I have read and agree to
the policies and procedures
of LMM*
 I agree 

*We accept Visa, Mastercard and Discover.
**Please make checks payable to Littlest Music Makers, LLC. Send check and registration form to Littlest Music Makers, LLC, P.O. Box 64551, Souderton, PA 18964.

Littlest Music Makers, LLC copyright © | All Rights Reserved