Fall 23 LR (Larimer)

Little Rangers Fall 2023: Larimer
Child Information
Child's Name*

First NameLast Name
Age*
Accepted ages 3-6.
Gender*

MaleFemale
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?
Siblings
Name of Sibling
Not required
Parent/Guardian Information
Parent/ Guardian Contact's Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How did you hear about us?*

FacebookInstagramGoogle SearchMacaroni KidsWord of MouthEmail List
Friend Referred (If applicable):
Class Selection
Please select which class time(s) you'd like to attend. Classes held on the same day are identical to one another.
Payment

My Products*

Pay by Credit Card. Each Session-$15.00

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 $0.00Tax $0.00Total $0.00

Signature & Agreements
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 NameLast Name
Date*

MonthDayYear
Date
Please verify that you are human*
Thanks so much!

Please be sure to close this tab after submitting to avoid a duplicate submission/ payment. In a moment, you will receive an automated confirmation email with the dates you signed up for. The day before your class, you will also receive an email from us with details on where to meet our instructor.
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Little Rangers Fall 2023: Larimer