You may PRINT out this Registration form

Mail the completed form – with payment - to:

MusicTree/ Hope Lutheran Church & School, 2600 Haines Road,

Levittown PA 19055-1808

or

Drop off Registration form with payment to Hope Lutheran School Office during regular school hours.

MusicTree REGISTRATION FORM

Child’s Name ____________________Age_____ Birth Date_______

Additional Siblings to be registered_________________Age_____ Birth Date_______

Parents Name___________________Tel. #__________________

Address _______________________E-Mail:__________________

        _______________________

Parent / Care-Giver in attendance___________________________

Class Time: 1^st Choice_______________    Fee enclosed_________

           2^nd Choice_______________

Class confirmations will go out the week before classes begin.

Special concerns:_________________________________________

MusicTree accepts payments by cash or check only. Payment due in full upon Registration.

Checks payable to:            Hope Lutheran Church/MusicTree

REFUND POLICY: 100% until day of 1st scheduled class - up to 75% issued after 2^nd scheduled class

                        NO refund following 3rd scheduled class

MAKE-UP CLASSES: 1 Make-up class will be provided following the last week of classes.
Any other make-up class must occur during another scheduled class time.

Signature ____________________________                Date: ______________