Name:
Relationship:
Parent Address:
City:
Postal Code:
Home Phone:
Work Phone:
Parent Email:
Age/Date of Birth:
Please select the correct age-appropriate program. We will do the best we can to accommodate your first choice.
Start Month: ---SeptemberOctoberNovemberJanuaryFebruaryMarchAprilMayJuneSummer Camp
Program ---VillageOur TimeImagine That!Wiggle & GrowLaugh & LearnMove & GrooveFamily TimeSign & SingYoung ChildPreschool CampSummer Camp
Day ---MondayTuesdayWednesdayThursdayFridaySaturdayM-W-F
Time ---9:3010:3011:301:002:003:304:305:30morning camp
How did you hear about our Kindermusik program?
I was referred by:
See online payment option below. Otherwise, please mail a cheque to 3063 Lonsdale Avenue, North Vancouver, BC, or call 604.773.4317 with your credit card payment.
I agree to participate in one short survey conducted by Kindermusik International. I understand that my email address will not be shared with any other party.
I authorize Notable Kids to use my image or my child's image in photography for Notable Kids newsletters, brochures, videos and on the Notable Kids website. I understand that we will not be compensated in any way for the use of these photographs and that the names will not be used without additional consents.