Musikgarten Musikgarten

BETHA'S MUSIK
                    a MusikGarten Program
617 Berkshire Drive  State College, PA 16803

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Registration

Please register below:
A $10/family registration fee is due once each year
To complete your registration, please send your $10 fee to:
Betha Christopher
617 Berkshire Drive
State College, PA 16803.  

If you do not wish to register on line, download this Registration Form.pdf and send to the same address along with the registration fee. You will need Adobe Acrobat to view this document. Go to www.adobe.com to download free Acrobat Reader.


Select Class:  

Preferred Day/Time:  (e.g. Tuesdays 09:30)
 
Parent's First Name:  
Parent's Last Name:  
Address Line 1:  
Address Line 2:  
City:  
State/Province:          
Zip/Postal Code:  
Email Address:  
Home Phone Number:   -   -  
Work Phone Number:   -   -  
Cell Phone Number:   -   -  
Alt. Contact Person:  
Alt. Contact Phone:   -   -  
Child's First Name:  
Child's Last Name:  
Child's Current Age:   months     years
Child's Birthdate:   (MM/DD/YYYY)  
List any allergies or medical issues of which the teacher should be aware:  
How did you hear about us?:  
Other:  
Question/Comment: