Broadmoor MUSIKGARTEN Academy Registration

To register, print out the registration form below. Complete all requested information and mail with registration fee to:

                                 Broadmoor MUSIKGARTEN Academy
                                 315 Lake Avenue
                                 Colorado Springs, CO  80906

Make checks payable to "Broadmoor Community Church--Musikgarten".
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                    MUSIKGARTEN Registration Form

Child's Name  ________________________________________________________
Age  ________________________________
Birthdate  ____________________________

Parent's Name  _______________________________________________________
Street Address  _______________________________________________________
City, State and Zip Code  ________________________________________________

Home Phone  _____________________Work or Cell Phone  ___________________
Email Address  _______________________________________________________

Class for which you are registering:
Class  ______________________________________________________________
Day  _____________________________Time  ______________________________


In case of emergency, please contact:
Name  ______________________________________________________________
Relationship  _________________________________________________________
Phone  ______________________________

I understand that a parent or caregiver is an active participant in these classes and that I or another adult caregiver I have designated will be in attendance at all classes. In the event of an emergency and I am not on the premises or my emergency contact is unavailable, I give the teacher in attendance permission to obtain any medical care that may be required by my child. In such case, I understand all costs are my responsibility. Furthermore, I release the teacher and Broadmoor Musikgarten Academy from any and all liability.

Signature  ___________________________________________________________
Date  _______________________________


PARENT ORIENTATION:
Parental involvement is important in the musical education of children. Children gain more when their parents know and understand what is being done in Musikgarten. Parental awareness of studio policies, behavior expectations and basic music theory is also helpful and enhances the child's experience in class.

Please make every effort (for one or both parents) to join us for Parent Orientation on Tuesday, September 11, 2007 from 7 to 8 p.m.

Questions or concerns, please contact:
Kristin Hanson, Teacher  (719) 244-1764
Lynn Hurst, Director  (719) 473-1807, ext. 116 or lhurst@broadmoorchurch.org