I. INFORMATION

Please fill in the following required information to enroll your child in our "Tones in Motion" class. This is a 5-session series on Saturday mornings from 10-10:30AM and is for ages from birth through 6 years old! Session dates include: March 7, 21, 28; and April 4, 11.

II. BILLING INFORMATION

Please fill out the following information in order for us to secure a spot for your child.
Payment may be made via check or money order, credit/debit card, or cash. Please indicate how you wish to provide payment, and fill out the information below. Regardless of your preference, we need your credit/debit card information on file. **Check or money orders need to be made out to "Steeple Street Music Academy, Inc." and either brought to the physical school at 40 Steeple Street in Mashpee Commons or sent by mail to: 11 Market St., PO Box 1304, Mashpee, MA 02649.**

III. PAYMENT DETAILS

The cost for this 5-session series is $125 plus a one-time class registration fee of $15; if siblings are registering together, there is a 50% discount for the second sibling. **If the class doesn't run for whatever reason, your payment will be reimbursed.
$ 0.00

IV. ELECTRONIC SIGNATURE

Please sign below, indicating you acknowledge and understand the following statement.

V. TROUBLESHOOTING

If you are having issues submitting this form, please contact us at the school via phone: (508) 681-8422 or email: info@steeplestreetmusic.com. We will process your enrollment information together!