Musikgarten Registration

Please use this form to register for Musikgarten classes. At least half of the total amount is due at registration. You will be billed for the remaining amount. Checks are payable to Lebanon Valley College.

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Student Name

First

Last

Birth Date

Age at the start of the semester

Gender

Male
Female

Status

New Student
Returning Student

Parent Name

First

Last

Parent Email Address

Home Phone Number

Cell Phone Number

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Course/Tuition Information

Class

Which term are you registering for?

Preferred Date and Time (First Choice)

Preferred Date and Time (Second Choice)

Tuition & Materials Cost (Fall 2024)

Toddlers & Cycles of Seasons : $155 (tuition) + $40 (materials) = $195

Discount

Total

CMI may take photographs of activities to use in printed publicity, our website, social media, or other media. If you do not want yourself/your child to be photographed and/or filmed, please check the box.

I do not want me/my child to be photographed and/or filmed.