Musical Munchkins
Registration Form - New Jersey
Winter
Home
Send form and check to: Musical Munchkins, c/o Joanne Zuravnsky, 47 Furber Ave, Linden, NJ 07036 Tel#: (908) 587-1106
PERSONAL INFORMATION
Parent's Name:
Caregiver's Name:
Home Phone::
Work Phone:
Cell Phone:
E-Mail:
Address:
City:
State:
NJ
NY
Zip:
CLASS SELECTION
                              
To view our class schedule click here
                      
To view our class descriptions click here.
1st Child's Name:
Birthdate:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day:
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
Year
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
1st Choice:  Music For:
Age
Babies
Ones
Two's
Three's
Four's
Family
Day:
Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time:
Location:
Location
Edgewater
Fort Lee
Nutley
Paramus
Pompton
Ridgewood
Washington Township
Session:
Session
Fall
Winter
Spring
Summer
>
2nd Choice: Music For:
Age
Babies
Ones
Two's
Three's
Four's
Family
Day:
Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time:
Location:
Location
Edgewater
Fort Lee
Nutley
Paramus
Pompton
Ridgewood
Washington Township
Session:
Session
Fall
Winter
Spring
Summer
>
2nd Child's Name:
Birthdate:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day:
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
Year
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
1st Choice:  Music For:
Age
Babies
Ones
Two's
Three's
Four's
Family
Day:
Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time:
Location:
Location
Edgewater
Fort Lee
Nutley
Paramus
Pompton
Ridgewood
Washington Township
Session:
Session
Fall
Winter
Spring
Summer
>
2nd Choice: Music For:
Age
Babies
Ones
Two's
Three's
Four's
Family
Day:
Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time:
Location:
Location
Edgewater
Fort Lee
Nutley
Paramus
Pompton
Ridgewood
Washington Township
Session:
Session
Fall
Winter
Spring
Summer
>
ADDITIONAL INFORMATION
Have you taken a Musical Munchkins class before?:
Yes
No
If no, how did you hear about us?
Flyer
Mailing List
Newspaper
Nursery School
Parent Guide
Parent Paper
Party
Previous Student
Website
Word of Mouth
Parent Guide
Family
PAYMENT
Fall...12 weeks:
$228.00
Winter...10 weeks:
$190.00
Spring...10 weeks:
$190.00
Tuition (above table)
$
10% Discount When registering 2 or more siblings or
for more than one session at a time (only 1 discount per family)
$
Amount Enclosed
$
Click here to contact us at munchkinsnj@aol.com for New Jersey
FOR OFFICE USE ONLY Check#:
Amount:
Check Date:
Date Rec'd:
Start Date:
Registration:
Spaces are reserved upon receipt of your check and confirmed once registration is open to new regitrants.
Refunds:
Once your child's space is reserved no refunds can be given. Class credit can be obtained prior to start date with written notification.
Class Cancellation:
Classes may be cancelled due to inclement weather. At 8:00am our office message will be changed to reflect our decision. This information will also be posted on our web site, www.musicalmunchkinsnewjersey.com. If schools in your area are closed we usually will close as well.
Make-up:
If you miss one of your weekly classes you may call to arrange another class on a different day. Please understand that our class sizes are limited therefore we can only allow up to 2 make-ups.
Returned Check:
There is a $10.00 fee for returned checks.
Please note:
It is possible that your check may not be cashed until the first week of your session.
Visitors:
Call in advance if you wish to bring a visitor to class.
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