Kindermusik with Donna & Friends
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Registration

Submit this form to reserve your child's place in the class of your choice, along with a  nonrefundable deposit of $65.00 per child made payable to:  Donna Strout . 231 Jana Court, Chesapeake, VA 23322.   NOT READY TO REGISTER?  TRY A FREE CLASS FIRST.

Our Privacy Policy:
  • Your personal information is strictly private!
  • We never sell or share customer information in any form.  
  • Your information will be used solely for Kindermusik with Donna & Friends to communicate with you.

Parent Name
Address
Home Phone
Work Phone
Cell Phone
Email Address
Emergency Contact
Emergency Phone
How did you hear about us?
Child Name
Child date of birth
Referred By
Desired class/day/time
second choice: class/day/time
Registering a sibling?
Sibling name
Sibling date of birth
Desired class/day/time
second choice: class/day/time
Deposit mailed
  

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Would you like to try Kindermusik? Take a FREE class on us.  Ready to Enroll? Register here. Need to contact us? Click here.

 

Kindermusik with Donna & Friends
"Where learning meets fun"
Helping parents in the South Hampton Roads, VA area develop their young children through music and movement activities