Little Rangers Summer Saturdays 22

Little Rangers

Summer Saturdays!
Child Information
Child's Name *

First Name Last Name
Age *
Gender *

Male Female
Siblings

If you are signing up siblings together for the same session, please enter Sibs for the promo code at checkout on both registration forms in order to recieve $5 off each session for the pair. Each sibling needs their own registration. Please list sibling if applicable:
Name of Sibling
Parent/Guardian Information
Parent/ Guardian Contact's Name *

First Name Last Name
Relationship *
Phone Number *

Area Code Phone Number
E-mail *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Does your child have any medical conditions that we should know about?
Is there any other information you would like to share with us about your child?
How did you hear about us? *

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Release Confirmation

BY AGREEING AND ENTERING MY NAME BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Name of Parent/Guardian: *

First Name Last Name
Date *

Month Day Year
Date
How did you hear about us? *

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Please choose which date/s you would like to attend below. The first selection box is Saturday mornings at 9:30 am, the second box is Saturday's at 11 am.
Saturdays @ 9:30 am

All classes below take place on Saturdays from 9:30 am - 10:30 am
All classes for ages 3-6 (Saturdays)
Saturday's @ 11 am

All classes below take place on Saturdays from 11:00 am - 12:00 pm
All classes for ages 3-6 (Saturdays)

My Products *

Pay by Credit Card. Each Session- $ 20.00

Please select how many sessions you chose above.Example: If you selected 4 days above, please select '4' in the dropdown.

Number of Classes

Enter coupon

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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Thanks so much!

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Little Rangers

Saturdays @ 9:30 am

Saturday's @ 11 am

Thanks so much!