Registration for Spring 10 Tambourine Collection

Make-ups are available during every scheduled class.

IMPORTANT!
PLEASE let Naomi know the name of the adult who will be accompanying your child. Write the name in the COMMENTS box, below. (Thank you.)




For more information about Kiddie Korner, check out their website: www.kiddiekorner.org



* Your First Name:
 
* Your Last Name:
 
*Mailing Address:
 
*City:
 
*State/Province:
 
*Zip:
 
*Phone:
 
Other Phone:
Type (work, cell, etc):
*Email:
Contact Preference:


Registrants
First Name Last Name Date of Birth (mm/dd/yy)
Child #1
Child #2
Child #3




Select Semester:

Class 1st Choice

Location: Class Type:
*Class:
<Select Location and Class Type first>

 
 
 
 

Class 2nd Choice — Please select a second class in case your first choice is unavailable.

Location: Class Type:
Class:
<Select Location and Class Type first>

 
 
Waitlist OK?
 
 
 
 
Comments:

 
 
How did you hear about us:

* - Required information.