Musical Classes for Children & Grown-Ups
Mother First and Last Name: * 
Mother's Last Name: *
Mother's Last Name: * Father First and Last Name *
Address: * Apt. #:
City: *
State: *
Zip: *
Phone Number that is best to reach you (Separate with hypens 000-000-0000)
Work Phone: Cell Phone/Pager:
Cell Phone/Pager: (Required) Did you participate in the Winter 2010 Session of Music Together with us?
E-mail: *
We will be sending our class confirmations by e-mail. Please make sure that mail from Songs and Signs or Denise Schmitz is on your email "safe list" and delivered to your inbox. If this poses a problem for you, please let us know in the "Other Pertinent Information" box below.
Please list any infant siblings who are under 9 mo who will be attending for free with an older sibling!
Child(ren)'s Names: Child 1 *
Child 2 Child 3 Date(s) of Birth: Child 1 *
Child 2 Siblings under 9 mo=free with registered sibling. Child 3 Please list any infant siblings birthdates, too! See the class offerings below and complete the rest of the form.
Music Together Spring 2010 Schedule April 9-June19, 2010. (Friday and Saturday classes in WDM will have a few weeks off during spring session, due to events/weddings being held at Crossroads Church, but all classes will be held a total of 8 times).
Crossroads Fellowship Reformed Church, 1200 60th St, West Des Moines, IA 50266
Monday 9:30 AM Ingrid Anthan Thursday 5:45 PM Ingrid Anthan
Thursday 5:45 PM Ingrid Anthan Monday 10:30 AM Ingrid Anthan Friday 9:30 AM Jodi Stanfield
Friday 9:30 AM Jodi Stanfield Tuesday 9:30 AM Ingrid Anthan Friday 10:30 AM Jodi Stanfield
Tuesday 10:30 AM Ingrid Anthan Saturday 9:45 AM Kristen Richer
Saturday 9:45 AM Kristen RicherTuesday 4:45 PM Kristen Richer
Tuesday 5:45 PM Kristen Richer
Wednesday 9:30 AM Jodi Stanfield
Wednesday 10:30 AM Jodi Stanfield
St John's Lutheran Church, 600 6th Ave, Des Moines, IA 50309
Thursday 9:30 AM Jodi Stanfield
Thurssday 10:30 AM Jodi Stanfield
Saturday 10:00 AM
St James Lutheran Church, 5665 Merle Hay Road, Johnston, IA 50131
Monday 6:00 PM (we hope to offer this class as long as we get a teacher for it--we should know soon)!
Wednesday 10:00 AM (we hope to offer this class as long as we get a teacher for it--we should know soon)!
1st Choice:
Location:
Day of Week:
Start-Time:
(Required) Have you ever participated in our local Music Together program?
2nd Choice: (This is important for us to know in case your first choice class is full)
Location:
Day of Week:
Start-Time:
3rd Choice:
Location:
Day of Week:
Start-Time:
Other Pertinent information (ie: Are you registering with others, and if so, whom? Are there any special health issues or handicap accessibility and/or accomodations about which we should be informed?
If you are new to Songs and Signs and one of your friends referred you, please put their name here:
Cost:
$140 for 1 child if paying via check or cash. $146 if paying via credit card.
$100 for 2nd sibling (over 9 mos), if paying via check or cash. $105 if paying via credit card
* Method of Payment (You Must Select One):
*Please tell us how you heard about us. (Select One)
Please read the following and indicate your agreement by checking the "Yes" box:
I agree to assume responsibility for my child or children and myself and/or caregiver when upon the premises of a church or other location for a class with Songs and Signs, LLC., and will hold harmless Songs and Signs, LLC and any of its employees and/or agents in the event of any personal injury, property damage or loss, indemnifying said parties of any loss that I might incur as a result.
* I have read and understand the above policy:
A $15 cancellation fee will apply. No refunds after the first day of classes.
If you are registering now and wish to pay with a check, click
If you are registering now and wish to pay online now, click
If you with to erase your registration, click
If you wish to print a registration form and mail it in with payment, click here:
To Register for Music Together classes, complete the online form below OR click on the printable form (above) and mail to: Songs and Signs, LLC 4602 Elm St. West Des Moines, IA 50265.
Important Details:
1. Payment via check or cash is preferred. Full payment is due within 5 days your registration in order to secure your child's place in class.
2. We will make every effort to accomodate you, but unless you are re-registering for your same class during priority registration, your preferred class placement is not guaranteed. We will contact you if we cannot place you in any of your choices.
3. Please note that even if a class is not indicated as being full on our website at the time of your submitting this form, there may not be room in it by the time your registration is sent in. This is why it is important to include 2nd and 3rd choices when registering.
4. If you wish to enroll in more than one class, please fill out a separate form. If you are paying online, you will be required to pay for each class independently. (Note: you may register more than one child at a time as long as they are being registered for the same class.)
5. We invite you to call if you have any questions about our classes prior to submitting this form. The best time to call is between 1-5 pm. (515) 457-8834.
* = Required Field
We will open pre-registration for spring session to only our winter families from March 5-March 12. We'll open to the general public for spring session on March 15, 2010. Call to be put on a wait-list!
