Rhyme Time Registration Form

Rhyme Time
Registration Form

Rhyme Time 2009 Registration

Please make checks payable to the
appropriate teacher:
Janet Wahlquist or Tiana Dubois
and mail to:
1310 Blue Oaks Blvd.
Roseville, CA 95678

+Take Home materials are included
with EVERY registration
+Payment Plans Available
+Sibling Discounts Available

*Parent's Name:

*Email:

Alt Phone #:

*Phone Number:

*Mailing Address: (Street):

*City:

*ZIP:

*Child's Name:

*Age:

Birth Date:

Name of caregiver attending class:

Allergies:

Name and ages of siblings:

Hurry! Class sizes are limited!!!

Please check the
semester you are
enrolling in:

Select your Class
Level

Select Theme, Day and Time from
Spring Schedule or summer schedule

Theme:

Day:

Time:

Spring 2009

Summer 2009

Payment

I will pay the total
amount in full now

I will pay the deposit now

AND

the remaining amount of on the first day of class

OR

I would like to pay the remaining amount in
monthly payments

Total amount due:

Deposit:

Remaining amount:

DISCOUNTS:
Refer a friend & recieve $10 off your
tuition when they register

Sibling discount- contact us for special.

I am sending a check in the mail

I am bringing a check to you

I will pay by credit card over the phone

*Non-refundable deposti due @ weeks before start date to secure your spot and ensure availability
of At Home materials for the 1st day of class.
**Enrollments will be accepted throughout the semester, room permitting, at a pro-rated tuition.
***There is a $25 fee on all returned checks

To enroll either:
1) Click here to register online using a credit card
2) Fill out the form and submit it online and call or bring payment to class
3) print and fill out this form and mail or bring it to class with payment