Let's Get Moving Registration
Child's Name
First Name
Last Name
Child's DOB
-
Month
-
Day
Year
Date
Parent Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Class Preference
Monday 9:30-10:15 Ages 3-5 Morganville
Tuesday: 9:30-10:15 Ages 18 months-3 Morganville
Wednesday: 1:30-2:15 Ages 3-5 Morganville
Saturday: 10-10:45 Ages 3-6 Morganville
Saturday: 11-11:45 Ages 7 and up Morganville
Thursday: 1:30-2:15 Ages 3-5 Monroe
My Products
prev
next
( X )
Registration
6 weeks
$
150.00
Quantity
Registration
Drop in class. Please put date you would like to attend below.
$
30.00
Quantity
Credit Card
If you are doing a drop in what date(s) are you attending?
Submit
Should be Empty: