Miss Merja’s Music Room

REGISTER

To register for your class, please fill out this form.
On the proceeding page, payment can be made with credit card or by PayPal.
Please e-mail Miss Merja if you have any questions: info@missmusicroom.com.
Or if you prefer to send payment by mail, please print and fill out the registration form and send with payment.

You will reserve a spot in the class once we receive the full payment and the completed registration form.

Student
Date & Time of Class: *
Age *
Birthday *
Parent/Guardian *
Address *
Phone *
Cell Phone
E-mail *
If your child attends a music program at a preschool please write the name of the school.
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