Registration Form
NAME OF CHILD |
|
DATE OF BIRTH |
|
PARENT/GUARDIAN’S NAME |
|
ADDRESS |
|
POSTAL CODE |
|
HOME TELEPHONE |
|
MOBILE TELEPHONE |
|
|
Health concerns/medical conditions/other comments:
...................................................................................................................................... ......................................................................................................................................
How did you hear about Kindermusik?
...................................................................................................................................... ......................................................................................................................................
I wish to enrol my child _____________________________into Kindermusik® Village / Our Time / at the Greengate Centre, Malton
SIGNED __________________________________DATE___________
(All personal records are strictly confidential)
Please make cheques payable to Sarah Marley and return form to
25 Byron Drive, York, YO30 5SN