New families* are invited to experience Kindermusik for FREE!

Please look at the following videos to get a sense of what Kindermusik is all about. Then fill in the preview class request form below.

Newborn to 18 months Class Video click here

18 months to 4 Years Class Video click here

* Free previews are reserved for brand new families, they are not available for siblings of past or present students.  Thank you.

Preview Class Request Form

All classes held at the Optimal Learning Center in Novato

Your First Name Your Last Name

Child’s First Name Child’s Last Name  

Child’s Date of Birth Age Today

Your Email Address

Street Address

City State Zip

Home Phone Cell Phone

What is your availability?

Your participation at Kindermusik is contingent on making sure you fully understand the following classroom rules / program policies.  Please take a minute to read carefully, everything here is important.

ADULT PARTICIPANTS:

· Child must attend the preview class with a parent or Grandparent.  Once enrolled, nannies may attend as class participants.

· No food, drinks, toys, or strollers allowed in building or classroom, leave these items in the car.

· Adults participate by modeling for the child: singing, dancing, playing instruments, and acting silly are some of what the adult participant will do.

· All participants need to wear socks, and wash hands before class.

· Please arrive a couple minutes early to settle in to class, but not more than 5 minutes early as this interrupts class preparation time.

► Have you read the above information carefully? Yes No

Photo / Video release:  By enrolling in Kindermusik, you agree to the release of any class photo or video clip that may contain an image of you or your child participating in class activities.  Names never released, personal information never shared with anyone.

Insurance release:  By participating in Kindermusik you agree to release, waive and discharge Music with Melissa, the OptimaLearning Center, PS Business Park, Lanham Village HOA, and Melissa Ayotte from any and all liability for any injury, loss, or property damage, arising out of or in any way connected with participation by the undersigned or the enrolled child in the program; before, during, or after class; indoors or outdoors.

► Do you agree to the above? yes no  ……...(required)

Is there anything else you’d like me to know?

Please submit the form:

I will email you within 2 business days to confirm your preview class reservation.