Register

To register for a shir a song class, please fill out all of the information below. Upon submitting your registration form, you will be redirected to the Payment page.

YOUR CONTACT INFORMATION:

Your Name (required)

Street Address (required)

City, State & Zip (required)


Home Phone

Work Phone

Cell Phone

Your Email (required)

CANCELLATION CONTACT INFO: In case we need to cancel class, what is the best way to reach you in the early morning?

Text to CellEmailCell PhoneHome Phone



NAME OF YOUR REGISTERED CHILD/REN:

CHILD #1: DOB: AGE:


CHILD #2: DOB: AGE:


CHILD #3: DOB: AGE:

*siblings under 8 months at registration may attend at no additional charge.


WHICH CLASS ARE YOU INTERESTED IN?


*Please note: Current class availability will be shown on the next page.

HOW DID YOU HEAR ABOUT SHIR A SONG CLASSES?

**Families who refer friends will receive a 10% tuition discount, so please let us know who referred you so we can thank them. Likewise, if you refer a friend, you will receive a 10% discount off your tuition! New families to shir a song only, please.

ANY SPECIAL NOTES OR QUESTIONS FOR MS. ELLIE MUSIC?

I HAVE READ AND UNDERSTAND THE MS. ELLIE MUSIC, LLC GENERAL POLICIES.
I AGREE

*ONCE YOU HIT SEND AND YOUR FORM IS SUBMITTED, YOU WILL BE TAKEN TO THE PAYMENT PAGE. PLEASE DO NOT HIT THE "BACK" BUTTON WHILE YOUR FORM IS PROCESSING. THANK YOU!