MusiKids Pre-K Registration Child's Name* First Last Parent(s)'/Guardian(s)' Name(s)* Age of Child* Child Lives With: Father Mother Both Address* 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:* SPRING 2024: all classes are full! Registering for Session:* SPRING SESSION: April 17/18, 2024 - June 19/20, 2024 I understand no discounts or refunds are given for sessions not attended* Yes Check 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 agree PaymentTuition 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.EmailThis field is for validation purposes and should be left unchanged. Δ
