Preschool Children's Music Class - Enrol Now! - Kindermusik with Andrea Crosswell

Online Enrolment Form

Complete your details on the enrolment form and click "Submit". We will contact you to arrange your class.

* Required Fields

Parent Information

*Parent Name:

First name:		Last name:

Caregiver/Nanny:

First name:		Last name:
			If participating in class.

*Phone:

Mobile Phone:

*Email:

*Your Address:

Emergency Contact:

Emergency Phone:

Child Information

*Child's Name:

First name:		Last name:

*Child's Details:

Gender:		Age:		Date of Birth

Does your child have allergies?

If yes,
provide details.

Other Information

*Class:

*Class Location:

Preferred Day:

Preferred Time:

Payment Method:

How did you hear about us?

Questions/ Comments:

Would you like to receive our quarterly e-newsletter containing developmentally appropriate musical learning information and activities and special offers?

Terms of Acceptance

By selecting this checkbox, we:
1. Hereby release and agree to indemnify and hold harmless Kindermusik with Andrea Crosswell, its educators, employees, liabilities, costs and expenses including solicitor's fees which they or any of them or my child may sustain or incur in any way arising out of my child's participation in any and all Kindermusik with Andrea Crosswell activities.
2. Have read and fully agree with the Registration Policy