3 Year-Old Class Sign-up Form

3 Year Old

Class Sign-up Form
Select Classes*
Select the number of classes per week that you have paid for otherwise you will be charged the higher rate for the month*
Choose one plan (covers a month of classes)*

1 Class Per Week - $129.95 ($32/class)2 Classes Per Week - $159.95 ($18/class)3 Classes Per Week - $189.95 ($14/class)
Coupon Code:
*All kids not potty-trained must have a parent or guardian present during the class.
Anything the Instructors might need to know about your child?
Customer Information
Parent's Name*

First NameLast Name
Child's Name*

First NameLast Name
Phone Number
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

3 Year Old