Music Together of Hampton Roads

Below is a form you can fill out to register for a class!

Tuition is $105 for returning families. New family tuition is $110. Sibling fee is $50. Babies nine months and younger are free with a paid sibling!

Summer tuition includes six (6) 45 minute classes, 2 CDs, a beautifully illustrated songbook, activity suggestions for parents, and Music and Your Child: A Guide for Parents and Caregivers. Refunds are not available after the first class, but make-ups can be arranged based on availability.

Please send payment by CHECK or MONEY ORDER
Make checks and money orders payable to:

Music Together of Hampton Roads

4617 Bradston Road

Virginia Beach, VA 23455

Registration will be confirmed upon receipt of payment.

* Your First Name:
* Your Last Name:
*Mailing Address:
*City:
*State/Province:
*Zip:
*Phone:
Other Phone:	Type (work, cell, etc):
*Email:	Contact Preference:

Registrants

	First Name	Last Name	Date of Birth (mm/dd/yy)
Child #1
Child #2
Child #3

Class 1^st Choice

Location:	Class Type:

*Class:
<Select Location and Class Type first>

Class 2^nd Choice — Please select a second class in case your first choice is unavailable.

Location:	Class Type:

Class:
<Select Location and Class Type first>

Waitlist OK?
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Comments:

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Copyright 2008 Music Together of Hampton Roads. All rights reserved.
Music Together^® art & logo design © 1992-2010 Music Together LLC. Music Together is a registered trademark. Music Together of Hampton Roads is licensed by Music Together LLC. For more locations: www.musictogether.com - (800) 728-2692

Class 1st Choice

Class 2nd Choice — Please select a second class in case your first choice is unavailable.

Class 1^st Choice

Class 2^nd Choice — Please select a second class in case your first choice is unavailable.