Class Registration Preschool Prep
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
*
Monday 9:30-11:30am Ages 3-5 Morganville
Thursday 9:30-11:30am Ages 3-5 Morganville
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Registration Fee
Registration fee for 6 weeks
$
180.00
Quantity
Registration fee
Drop in class
$
40.00
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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