I. INFORMATION

Please fill in the following required information to enroll your child in one of our "Tones in Motion" classes. We intend to begin the first session for each age bracket on Thursday, January 16, 2020. (If you have more than one child to enroll, please fill out and submit separate forms.) We will let you know as soon as possible whether or not your child was successfully enrolled or if he/she was put on the waiting list - class sizes are limited to 8 students, so please be patient! If your child doesn't get into the current session, he/she will automatically be placed on the class list for the next session.

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 the 0-3 year old session is $150; the cost for the 3-6 year old session is $180. This breaks down to $25 per 30-minute class for 0-3 year olds and $30 per 45-minute class for 3-6 year olds. Sessions run for six (6) weeks. There is an additional 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!