Semester Two 2008
 

Parent's Name
Caregiver's Name (if participating in class)
Mailing Address
Suburb
Postcode
Home Phone Number
Work/Mobile Number
Email
Child's Name
Date of Birth
Age
Sex
First name and ages of siblings
Day & Time	"Village" - Zoom Buggy
	"Our Time" - Away We Go
	"Imagine That!" - Toys I make, Trips I take
	"Young Child" -
How did you hear about us?	Word of Mouth
(Place X in relevant box)	Newspaper Ad
	Brochure
	Website
	Other

Please include any additional information about you or your child that will

help me best meet your needs along with any comments or questions you may have below:

Select "Submit" to email this form to Kindermusik with Ilona, or "Reset" to clear the contents of the form and begin again.

 
  If you would prefer to mail in the enrolment form, here's a link to a printable version.

Your enrolment will be confirmed with a welcome letter or phone call within 7 days. Please contact me if you have not heard from me, as it probably means the form has not been received at my end!!

Kindermusik with Ilona