S
 
   
 
** required fields
 
**Your name:
**Address:
**Telephone: Cell Phone:
**eMail:
**Child #1 name:
Child #2 name:
Child #3 name:
I'd like to attend:
FREE DEMO
BIG KIDS

August 20, 2011
August 27, 2011
September 10, 2011
September 17, 2011
September 15, 2011

I'd like to attend:
FREE DEMO
Mixed Ages

September 10, 2011
September 11, 2011
September 12, 2011
September 13, 2011
September 14, 2011
September 17, 2011
September 15, 2011
I'd like to attend:
FREE DEMO
BABIES ONLY* (up to 8 mos)
September 12, 2011
September 13, 2011


(first choice class)

GC ~ Grace Church
36060 Fremont Boulevard
Fremont, CA 94536

WS ~ Warm Springs Church
111 E Warren Avenue
Fremont, CA 94539

DM ~ Dance Makers
37420 Cedar Avenue
Newark, CA 94560


WS ~ am* :

GC ~
GC ~
GC ~ : :



(second choice)


WS ~
WS ~ am* : am


GC ~
GC ~
GC ~



(third choice)


WS ~
WS ~ am* : am


GC ~
GC ~
GC ~

comments

*Babies Only (for children under 8 months) : **BIG KIDS ONLY (children 5 to 7 years old)

Once you submit this form, your registration is recorded by email with Harmony & Me Music.
Registration is not complete, however, until you send your check to:
Harmony & Me Music at 43575 Mission Blvd; Suite 339; Fremont, CA 94539

Registration will be confirmed by email (or phone)...You can also print this page and send it with your check.