Class Registration Messy Hands and Sensory Fun
Child's Name
*
First Name
Last Name
Child's Date of Birth
*
Caregiver's Name
*
First Name
Last Name
Caregiver's Email
*
example@example.com
Caregiver's Phone
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Class Attending
*
Wednesday 9:30-10:15am Ages 3-5 Morganville
Wednesday 11:30-12:15 Ages 18 months-3 Morganville
Saturday 10-10:45am Ages 3-6 Morganville
Saturday 11-11:45am Ages 7 and up Morganville
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Registration Fee
Registration fee for 6 weeks
$
150.00
Quantity
Registration fee
Drop in class
$
30.00
Quantity
Credit Card
If you are registering for a drop in please put the date(s) you are coming below
Submit
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