BE SURE TO TYPE

ALL INFO REQUESTED :)

ADDRESS

CITY/ZIP

 

YOUR EMAIL :

YOUR CELL :

 

WHO WILL ATTEND

THEIR CELL :

 

FEE

Total

Pick a PAY Option

$72/unit—8 units or SY (weekday)  3 units for Gibsonia/Oakmont  2 units for Ross   

Foundation, Levels1&2, Level3 classes

(NOTE discount to the right)

 

$99/month

(8 monthly installments of $99)

Young Child class

OR

Pick a PAYMENT Type

$

$72/unit—8 units or SY (weekday)  3 units for Gibsonia/Oakmont  2 units for Ross

$

Pick the LOCATION

Pick the CURRICULUM

Pick the LOCATION

Pick the CURRICULUM

Parent Name

CLASS REGISTRATION FORM

Fill out to the best of your ability.  If something does not make sense to you, ask a question in the space provided. Lynda will call you as soon as she is able.

Your card will not be run until classes are under way for the session.

Short version:

Automatic installment payments will run on the same day each month.

 

Your place is reserved for you while registered.

 

You are responsible for all classes made/missed while registered.

 

Unlimited make-up classes within current session

(may be in a different level).

 

Fees not adjusted for absences.

 

Withdraw anytime in writing via email.

THIS FORM IS SECURE

Pl. note “s” after the http in browser address field

 

To Complete Registration

Assumption of Risk and Waiver of Liability

Relating to Coronavirus/COVID-19

I am a client of Kindermusik by Lynda. In such capacity, I agree to WAIVE AND RELEASE, indemnify, hold harmless and forever discharge Kindermusik by Lynda and it’s agents and employees, and Aspinwall Riverfront Park, Dance Unleashed, Treesdale Community Center, Oakmont United Methodist Church and Christ Episcopal Church, of and from any and all claims, damages and liabilities, of every kind and nature, whether known or unknown, in law or equity, that I may have, arising from my obtaining services at Kindermusik by Lynda.

I further agree that if I have had contact with anyone that has been diagnosed with COVID-19 or anyone that has symptoms associated with COVID-19 or if I have symptoms associated with COVID-19 that I will not enter Kindermusik by Lynda for at least 5 days after such contact and/or 5 days after my symptoms no longer exist. Those symptoms include but are not limited to:

Cough, Nasal Congestion

Shortness of breath or difficulty breathing

Fever, Fatigue

Repeated shaking with chills

Muscle or stomach pain, Poor appetite

Headache

Sore throat

Vomiting, Diarrhea

New loss of taste or smell

I also agree to wash or sanitize my hands upon arriving at Kindermusik by Lynda, after using the restroom, and after sneezing or coughing. I further agree to follow any written or oral instructions provided to me by any agent or employee of Kindermusik by Lynda.

The provisions of this waiver and release shall remain in full force and effect even after I am no longer a client of Kindermusik by Lynda.

 

“I READ IT AND ASSUME RISK”  (please click the button to the left)

 

I understand that an emailed WAIVE AND RELEASE  constitutes a signed document.

Kindermusik by Lynda appreciate your understanding and patience during this time on the planet.

One last thing

Read below and click

“I Read It and Assume Risk”

BUTTON

then hit SUBMIT

SEC Code

EXP Date

Card #

1st CK #

NO WORRIES!!

Card not run until after 1st class

ALL CLASSES TAUGHT BY :

Lynda Wingerd

Billed Monthly Oct—May (weekday)   Evening and SAT classes billed up front or over 2 or 3 months