MUSIC TOGETHER AT OAK-LEYDEN MUSIC TOGETHER AT OAK LEYDEN
WINTER 2011 CLASSES REGISTRATION FORM
Starting week of September 12, 2011 Registration cut-off September 12
and running through November 19, 2011 (register early to ensure place in preferred class time)
OAK LEYDEN DEVELOPMENTAL SERVICES ______________________________________________________
411 Chicago Ave., Oak Park Parent/Caregiver Name(s)
______________________________________________________
Thursday at 9:15 a.m. or 5:00 p.m., Friday at 9:15 a.m.
Address
Saturday 10:00a.m. ______________________________________________________
City State Zip
For more information, call (708) 524-1050 ext. 107 ______________________________________________________
Phone Alternate Phone
10 weeks for $150 (plus $10 registration fee for new families) ______________________________________________________
including all class materials; each additional sibling $110; E-mail
siblings under 8 months free
Full payment expected at time of registration unless other Best way to contact: _____________________________________
arrangements are made. Payment plans available upon request. How referred? __________________________________________
Tuition is refundable before the registration deadline, minus
$10 cancellation fee. After registration deadline, credit will be 1st child _______________________________________________
applied to a later semester. Date of birth ___________________________________________
Places can be held by mailing in registration form with cash, 2nd child _______________________________________________
check or credit card number. Date of birth ___________________________________________
Class availability is subject to sufficient enrollment. 3rd child _______________________________________________
Registration will be confirmed when class schedule is finalized. Date of birth ___________________________________________
1st choice: Class day ______________________ Time _________
Tuition includes: 2nd choice: Class day ______________________ Time _________
10 classes, 45 minutes each
Professionally recorded CD recordings (2) of class activities to Fee: 1st child $150
use at home/in car; songs, play-along music, tonal and rhythm Sibling fee @ $110 _____
patterns, rhythmic chants all pitched in the right range for a New family registration fee $10 _____
child’s voice Payment enclosed _____
Songbook with illustrations and activities
Please make checks payable to: Oak Leyden Developmental Services
Music and Your Child: Parents’ guide for families new to
Mail to: Music Together at Oak Leyden, 411 Chicago Ave., Oak Park, IL
Music Together 60302.
Parent Education To charge Mastercard or VISA:
Credit card #:_________________________________________
Exp. Date__________Code ___________Phone_____________
Signature ____________________________________________