Rhymes & Chimes Registration Form

Rhymes & Chimes Student Registration Form
Student Name*

First NameLast Name
Parent/Guardian Name

First NameLast Name
Birth Date*

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

PIN Code
Student/Guardian E-mail
Student/Guardian Phone Number*
example: 98450-98450
Courses*
Additional Comments
Should be Empty: