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:  For easier printing, copy and paste the below form to a Word document.

Cathy Mullins

4031 Reliant Circle

Owensboro, KY  42301 

 

 

Child's Name ________________________________________________________

Age _________________________Birthday_______________________________

Email_______________________________________________________________   

Mailing Address______________________________________________________

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:  Summer Session A, Our Time, Wed, 10:00)

 

 

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