Centre Registration

Registration form for child care centre classes

Centre details

Name of centre


Business phone


Mobile phone


Physical address


Postal address


Email


Director

First name


Last name


How many music classes would you like to have each week?

1 class
2 classes
3 classes
4 classes
5 classes

Which age groups would be having weekly music classes?

Babies
Little toddlers
Big toddlers
Little preschool
Big preschool

Which days and times would you prefer for weekly music classes?

Monday Mornings
Monday Afternoons
Tuesday Mornings
Tuesday Afternoons
Wednesday Mornings
Wednesday Afternoons
Thursday Mornings
Thursday Afternoons
Friday Mornings
Friday Afternoons

Other comments or questions