Kindermusik Registration Form

Kindermusik Registration Form

Child's Name:
Age:
Birthdate:
Parent's Name:
Email:
Address:
City:
State:
Zip:
Cell Phone:
Home Phone:
Work Phone:
Another responsible adult to call in case of emergency
Phone:
Check desired class below: Kindermusik "Village" (0-18 months) Kindermusik "Imagine That" (18 months - 3 years) Kindermusik "Growing" (3+ years - 4 1/2 years) I have read and subscribe to the policies stated within this website. (See "Policies" statement) Required
Teacher:
Lesson Day:
Lesson Time:
Location:
Tuition:
Materials Fee:

Payment: On-line registration is not valid until credit card payment is made by phone. No refunds of any kind will be made after the first week of class. See "Refund Policy." For registration or information call: UALR Community School of the Arts Phone: (501) 569-3480 Fax: (501) 569-3378 Leslie Mangiamele, Director Janice Sampson, Registrar 2801 S. University Ave, Fine Arts Building, Room 164 Little Rock, AR 72204 The UALR Community School of the Arts operates through the College of Arts, Humanities, and Social Sciences at the University of Arkansas at Little Rock, Where excellence has many faces.