Storytime Sunshine Sprouts Registration Form

Story-time Registration Form
Join us for a free/donation-based class
Class*
Parent/Caregiver Name*

First NameLast Name
Parent/Caregiver E-mail*
example@example.com
Parent/Caregiver Mobile Number*
Your information is safe with me, primary communication will be done through e-mail. I will text out important updates (ex canceled class) from my personal cell phone if necessary. Format: (000) 000-0000.
Child's Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender
Signing Up Siblings?
*Siblings under 12 Months are welcome to join for free
- Child 2 Name*
  
  First NameLast Name
- Birth Date*
  
  MonthDayYear
- Gender
- Child 3 Name*
  
  First NameLast Name
- Birth Date*
  
  MonthDayYear
- Gender
- Yes, you can take photosYes, but please only share with me and not the classNo, please don't take photos of our family
- Allergies (please list any/all allergies)
- How did you hear about this class?
- Sunshine Sprouts Play is a parent participant class. Please list any additional parents/caregivers who will be accompany child to class if applicable
- Is there anything else you would like me to know to better support your family?
- Yes, we will be joining mid-season please let me know the fees due
- Payment is due before securing your spot in class. The 9 Week Session is $200 for one child+adult and $50 for each additional sibling.
- Venmo: @JenniferLasiter
- Should be Empty:

Story-time Registration Form