Winter/Spring Registration 2008
To register with a check, please fill out and print the following and either mail it to: Kindermusik, 36087 Astoria Way, Avon, OH 44011 or you may drop it off at the front desk at the EMH Center for Health & Fitness.
Please make checks payable to Nancy Squillante.
or click on the paypal option to the right

To pay with a credit card,
please click on the PayPal icon.
Winter/Spring Fees 2008
Our Time
Members
$154
Non-Members
$166
Sibling Kits = $26
Child’s Name:
Age:
Parent’s Name:
Address:
City, State & Zip:
e-mail
Phone Number
EMHCHF Member: Yes No
Class: (select one)
Day & Time:
Total = $
To be completed by parent or legal guardian:
 I accept full responsibility of my child for his/her use of any apparatus, appliances, facility privileges or service whatsoever, owned and operated by the EMH Center for Health & Fitness and Kindermusik with Nancy. I shall hold this center, its shareholders, directors, officers, employees, representatives agents, and Kindermusik with Nancy harmless for any and all loss claim, injury, damage, or liability sustained or incurred by my child resulting therefrom.
Parent/Legal Guardian Signature:
Date:
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Kindermusik with Nancy
440-785-3301
info@kindermusikwithnancy.biz

Classes are located at:
The EMH Center for Health & Fitness
1997 Healthway Dr.
Avon, OH 44011
(Driving Direction)