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harmony & me | harmonizing our world

** 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
Mixed Ages

September 18, 2010
SAT ~ 10:30 am

September 19, 2010
SUN ~ 5:15 pm

September 20, 2010
MON ~ 10:30 am

September 21, 2010
TUE ~ 10:30 am

September 22, 2010
WED ~ 6:15 pm

I'd like to attend:
FREE DEMO
BABIES ONLY* (up to 8 mos)

September 20, 2010
MON ~ 12:15 pm*

September 21, 2010
TUE ~ 9:15 am*

**(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 ~ MON ~ 9:30 am MON ~ 10:30 am MON ~ 12:15 pm* MON ~ 5:15 pm
WS ~ TUE ~ 9:15 am* TUE ~ 10:30 am
WS ~ SUN ~ 5:15 pm SUN ~ 6:15 pm

GC ~ SAT ~ 10:30 am SAT ~ 11:30 am
GC ~ WED ~ 6:15 pm

DM ~ TUE ~ 9:15 am* TUE ~ 10:30 am
DM ~ FRI ~ 10:30 am

**(second choice)

WS ~ MON ~ 9:30 am MON ~ 10:30 am MON ~ 12:15 pm* MON ~ 5:15 pm
WS ~ TUE ~ 9:15 am* TUE ~ 10:30 am
WS ~ SUN ~ 5:15 pm SUN ~ 6:15 pm

GC ~ SAT ~ 10:30 am SAT ~ 11:30 am
GC ~ WED ~ 6:15 pm

DM ~ TUE ~ 9:15 am* TUE ~ 10:30 am
DM ~ FRI ~ 10:30 am

**(third choice)

WS ~ MON ~ 9:30 am MON ~ 10:30 am MON ~ 12:15 pm* MON ~ 5:15 pm
WS ~ TUE ~ 9:15 am* TUE ~ 10:30 am
WS ~ SUN ~ 5:15 pm SUN ~ 6:15 pm

GC ~ SAT ~ 10:30 am SAT ~ 11:30 am
GC ~ WED ~ 6:15 pm

DM ~ TUE ~ 9:15 am* TUE ~ 10:30 am
DM ~ FRI ~ 10:30 am

comments

*Babies Only (for children under 8 months)

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.