MusiKids Pre-K RegistrationChild's Name* First Last Parent(s)'/Guardian(s)' Name(s)*Age of Child*Child Lives With: Father Mother BothAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home or Primary Phone*Cell PhoneEmail* How you heard about Kaleidoscope*Class:* WEDNESDAYS: 11 - 11:45 AM Musikids TODDLER class (12 - 24 months) THURSDAYS: 11:00 -11:45 AM **FULL September 2023** Musikids YOUNG PRE-K class (2 - 3 years) THURSDAYS: 1:15 - 2:00 PM Musikids OLDER PRE-K class (3.5 – 5 years)Registering for Session:* FALL SESSION: September 20/21, 2023 - December 6/7, 2023 WINTER SESSION: January 17/18, 2024 - March 27/28, 2024 SPRING SESSION: April 17/18, 2024 - June 19/20, 2024I understand no discounts or refunds are given for sessions not attended* YesCheck that you have read and agreed to the COVID-19 Waiver*Click here to read (will open in new window): WAIVER/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19 I agreePaymentTuition is $260 for each 10 week session. Please choose whether you would like to pay by check or online through Paypal.Special Notes or Comments:Payment Method* Check Paypal ($260)If you select to pay via check, please make $260 out to Leah Mainard and send to Leah Mainard c/o Kaleidoscope, 195 Front St N, Suite G, Issaquah, WA 98027. Thank you.CommentsThis field is for validation purposes and should be left unchanged.Δ
