Hutchings Pianos :: Pringle Place Musik

Enrolment/re-enrolment Form

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Contact Parent

Title
First Name *	Last Name *
Carer's Name (if applicable)

Contact & Postal Information

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Home Address *	City *
State *	Zipcode/Postcode *
Country *
Home Phone Number *	Mobile Number *

Enrolment Information

Number of Children Enrolling
Child’s first name	Child’s Surname

Add more children
Additional Children (enter full name of each child on a new line)
Please include any additional information that may help us best meet your needs (allergies, personality etc)

Enrolment preferences

Kindermusik Village: 0-18 mths
1st preference
2nd preference
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Kindermusik Our Time: 18 mths – 3 yrs
1st Preference
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3rd Preference
Kindermusik ABC and Me (age: 3 to 5 years in full-day childcare or preschool) Please indicate preferred day/s
Kindermusik for the Young Child (age: 5 to 7 years) Please indicate preferred day/s

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