Music Time with Miss CC Registration Form

ViBO Music Center
488 San Mateo Avenue, San Bruno, CA 94066
650-877-0805, info@vibomusic.com
http://www.vibomusic.com

Student's Information

Child Name

Date of Birth

Parents Name

Address

City

State

Zip

Phone

Email Address

Information about Your Child that would be Helpful

How did you hear about us?

Which session are you enrolling?

Billing Address

Name

Address

City

State

Zip

Payment Information

Please indicate the number of children enrolling:

	(Newborn-2 yrs. 8 Lessons) Fri 10-10:45am, Tuition: $160
	(2-4yrs, 8 Lessons) Fri 10:45-11:30am, Tuition: $160

Special Discount: Bring in an additional child, and both children will receive a 20% off. Home materials need to be pay in full. Due to the limitation of the online payment process, the discounted amount will be refunded to you at your first class.

Policy:

Tuition is due on registration. There are no cancellations or refunds after the 2nd lesson. Refunds are not given for missed classes, please do not come if your child is sick. Open materials are NOT refundable. Teacher absences will be made up at the end of the session.

While we make every effort to provide a child safe environment, you are responsible for supervising your child while on the premises or in a class together. Vibo and it’s employees are not liable for any injury on or near the premises. On occasion we take photographs in class for studio use, your registration implies consent to use which photographs unless you inform us otherwise. Your registration confers agreement of all aforementioned policies.

I have read and agree to all fees and policies of Kindermusik @ ViBO Music program

Indicates Response Required