Registration

Deadline to register for fall session is Sunday, September 10!
Please fill out and print the following form and mail it along with your payment to:
Lori Savage, 66 des Arbrisseaux, Vaudreuil-sur-le-lac, QC, J7V 8P3.
Please make cheques payable to Lori Savage.

To register online and pay by credit card, click here.
Note: There is a $5 charge for credit card processing fees on a class that is 7 weeks in length and there is a $10 charge for credit card processing fees on a class that is more than 7 weeks in length.

Waiver: I will not hold Lori Savage, educator at Kindermusik with Lori Savage, liable for any injury received through participation in the Kindermusik programs within this studio. I understand that Kindermusik with Lori Savage is not liable for the loss of or damage to personal property brought to studio lessons.
Child’s Name:
Date of Birth:
Parent or Caregiver's Name:
Street Address:
City & Postal Code:
E-mail:
Phone Number:
How did you hear about Kindermusik with Lori?:

Select a class (Village, Our Time, Imagine That, Adventures, ABC Music & Me):
Day & Time (First Choice):
Day & Time (Second Choice):
First names and ages of siblings:
Please include any additional information about you or your child that will help me best meet your needs:

Total $

Parent/Legal Guardian Signature:
Date:

Note: If there is not enough interest in a class, the class will be canceled and a full refund will be issued.

I'm so glad you chose Kindermusik for your child! Your enrollment will be confirmed with an email and/or phone call within two weeks.