Kindermusik with Cathy

Kindermusik with Cathy
Owensboro Symphony Academy
211 East 2nd Street
Owensboro, KY 42303
ph: 270-316-9203

Kindermusik Registration           

Please complete the information below and send along with your check payable to Cathy Mullins to the following address:  or, you may bring your enrollment to the Owensboro Symphony Academy located at 211 East Second Street.

 

Cathy Mullins

4031 Reliant Circle

Owensboro, KY  42301 

 

For single page printing, you may copy and paste to a Word document. 

 

 

Child's Name ________________________________________________________

Age _________________________Birthday_______________________________

Email_______________________________________________________________   

Mailing Address______________________________________________________

City/State/Zip_______________________________________________________ 

Parents' Name(s)_____________________________________________________

Phone Number(s)_____________________________________________________

Please indicate any allergy or other health concerns we should know.

From the class schedules, please list the following: 

Semester, Class, Day, & Time (example:  Spring, Our Time, Tues, 9:30)

 

 

May we use your child's photo in newsprint, online, and other advertising? 

Please circle:    YES     NO 

How did you hear about our Kindermusik program in Owensboro? 

 

 

Please direct all correspondence to:

 Cathy Mullins

4031 Reliant Circle

Owensboro, KY  42301

(270) 316-9203

 

 

Kindermusik with Cathy
Owensboro Symphony Academy
211 East 2nd Street
Owensboro, KY 42303
ph: 270-316-9203