CLASS REGISTRATION, SPRING 2018

Register for Mixed Ages Music Class
Spring 2018

for children aged 5 months to 5 years with adult

Sundays April 8 - June 17, no class May 27
Thursdays April 19 - June 21

Choose Your Class Section

Select Class*

Thursday 10am
Thursday 5pm
Sunday 11am

Parent Contact Information

Parent Name*

Email*

Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Address*

Child Information

NOTE: Sliding scale discounts will be applied in the Pricing section of this form

How many children are you signing up?*

One Child ($185.00)
Two Siblings ($277.50)
Three Siblings ($370.00)

First Child's Name*

Child's Date of Birth*

Pricing

At Miss Angie's Music we offer a 50% discount for siblings as well as sliding scale pricing based on annual family income. We understand that everyone's family situation is unique and assume that you will make an honest assessment of your family's financial situation. We do not require proof of income; we trust that you will pay what you can afford. However, given that we are almost entirely participant funded, it is important that those who are financially able, do pay the full tuition. If you can pay full price, please do! THANKS!

NOTE: When you select your Annual Family Income level, the price which is displayed automatically adjusts to your appropriate sliding scale discount.

Select Annual Family Income*

Above $75,000 (Full Price)
$48,000 - $75,000 (10% Discount)
$30,000 - 48,000 (20% Discount)
Less than $30,000 (35% Discount)

Total

$185.00

Billing Information

Email*

Name*

Payment Method

Credit/Debit Card
Check/Cash or Work-Trade

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

This page is secured with 256 bit encryption

RegFox Event Registration Software

Event Registration Software by RegFox