Register Now for our Fall Bongos Semester

Below is a form you can fill out to register for one of our classes. Tuition includes 2 CDs, songbook, and activity suggestions for parents. Refunds are not available after the first class, and there will be a $15 service fee deducted for withdraws 1 week prior to. Make-ups can be arranged based on availability.

Winter classes begin the week of January 9,2012 and will run for 9 weeks ending March 10,2012. Tuition is $160 for first child and $80 for siblings 8+ months. There is no registration fee.



Please make checks payable to Lisa Khoury, Director or pay-pal.
Checks can be mailed to:

Lisa Khoury (Director)
9607 Country Way Road
Glen Allen, Va 23060

Winter on-line registration and tuition is due by or before Jan 5,2012 to guarantee your reserved day and time. Tuition is non-refundable after the first class. Refunds for Pay-pal payments will be refunded minus the $15 fee. Please contact me if you need to make other payment arrangements.



We'll confirm your registration once we have received payment. Register early to assure your spot. Classes do fill quickly.

Your First Name:*
 
Your Last Name:*
 
Street Address (including apt. number):*
 
City:*
 
State/Province:*
 
Zip/Postal Code:*
 
Home Phone:*
 
Work Phone:
 
Mobile Phone:
 
Email:*
Contact Preference:

Registrants

First Name Last Name Date of Birth (mm/dd/yyyy)
Registrant #1
Registrant #2
Registrant #3

Class 1st Choice

Location: Class Type:
Class:*
<Select Location and Class Type first>

 
 
 
 

Class 2nd Choice — Please select a second class in case your first choice is unavailable.

Location: Class Type:
Class:
<Select Location and Class Type first>

 
 

 *  - required fields.