Music Together Puxi - Registration for Fall Semester Now Open

Below is a form you can complete to register for one of our classes.

Tuition is 1200 rmb for one child and 800 rmb for siblings. Tuition includes 2 CDs, a songbook, and activity suggestions for parents. Payment may be made in person prior to or at the first class. Payment may be made in cash, or we can arrange for a PayPal payment in USD. Please email for details.

Families NEW to Music Together Puxi are asked to make a deposit of 200 rmb to secure your place in class. Deposit is completely refundable up to 3 days before the first class of the semester.

* Your First Name:
* Your Last Name:
*Mailing Address:
*City:
*State/Province:
*Zip:
*Phone:
Other Phone:	Type (work, cell, etc):
*Email:	Contact Preference:

Registrants

	First Name	Last Name	Date of Birth (mm/dd/yy)
Child #1
Child #2
Child #3

Select Semester:

Class 1^st Choice

Location:	Class Type:

*Class:
<Select Location and Class Type first>

Class 2^nd Choice — Please select a second class in case your first choice is unavailable.

Location:	Class Type:

Class:
<Select Location and Class Type first>

Waitlist OK?
YesNo

Comments:

How did you hear about us:

* - Required information.

Class 1st Choice

Class 2nd Choice — Please select a second class in case your first choice is unavailable.

Class 1^st Choice

Class 2^nd Choice — Please select a second class in case your first choice is unavailable.