Denise Revo Music Studio
Class Schedule and Registration Form
For FALL & SPRING classes starting September 2011 or January 2012
 


To enroll call 816-554-2363 or mail this form along with your payment to:
Denise Revo Music Studio, 132 SE Battery Point, Lees Summit, MO 64063
Please make check payable to Denise Revo


Cost includes tuition and required high-quality materials (see Class Descriptions)
 
Enrollment for: FALL 2011 SPRING 2012
  Classes begin September 12th Classes begin January 30th
 
Class Locations: 132 SE Battery Point
 

SEE CONTACT US PAGE
FOR DIRECTIONS
Kindermusik Village
(Newborn to 20 months)
 
 		 Cost: $100
Tuesday 9:30 - 10:10am
 
 
Kindermusik Our Time
(1 1/2 to 3 1/2 years)
  		Cost: $150
Tuesday 10:20 - 11:00am
 
 
Kindermusik ABC Music & Me
(3 1/2 to 5 years)
 
                    
 		 Cost: $120
 
Monday 6:40 - 7:20pm
Tuesday 1:45 - 2:25pm
 
 
Kindermusik for the Young Child
Year 1 (5 to 6 years)
 

    Cost: $235
 
Thursday 6:10 - 7:00pm  
 
Kindermusik for the Young Child
Year 2 (6 to 7 years)
 

    Cost: $235
 
Monday 5:40 - 6:30pm  

 


 



Child's name:_____________________________  Age at beginning of session(Yr/mos) _____________
 
Parent's name:_________________________________________________________________
 
Address:_____________________________________________________________________
 
City: _________________________________  State: ______________ Zip: _____________
 
Home Phone: _________________________  Work/Cell Phone: __________________________
 
Email: _______________________________________________
 
New to program Previously Enrolled Update my Information

How did you hear about us? (Please circle one)
 
Print Ad Demo Phone Book Window Sign Car Magnet Other:___________________

Referred By: ___________________________________________

Is there anything you'd like me to know about your child that would help me best meet his/her needs?
 
____________________________________________________________________________________
 
____________________________________________________________________________________
 
Payment Options:

Prices listed above are for one child.  There is a reduced cost for siblings
in the same class or if you have materials from a previous enrollment.
(See Discounts and Special Offers on Schedule and Registration Page.)
Note: Payment is due in full regardless of the number of classes attended.

 
Option 1: Pay in full for the session
Option 2: Pay half at time of registration and the balance at the first day of class.
Option 3: Pay with PayPal
Option 4: Pay in three installments
  1/3 with registration          1/3 at first day of class          1/3 at 4th class
 
Check here if you are enrolling siblings in the same class or if you have materials from a previous enrollment.
 


Payment Option: 1     2     3     4    
Payment Method:  Check (Payable to Denise Revo)   Cash   PayPal
 
With this enrollment, I release any and all rights and claims for damages against Denise Revo Music Studio and it’s staff in the unlikely event of injury sustained by myself or my child(ren) during the course or as the result of this musical activity.
  
You have my permission to send me class related emails.
You have my permission to use photos or video taken of my child(ren) during class.

SIGNED:______________________________________________      DATE:______________________









 

Discounts and Special Offers
REFERRAL REWARDS!
 
REPEAT BENEFITS.


SIBLING SAVINGS.		 Refer a new-to-Kindermusik and you EACH get $10 OFF the current session tuition.

If you have this session's materials from a previous Our Time or Young Child enrollment, SAVE $25
  
Enrolling two siblings in the same class? Take $25 off!


Thank you for choosing Kindermusik!