Wednesday Morning with Ms. Paige
Registration form for the Wednesday morning class at 10:15 on May 6th@ Five Seven Nine Banquets.
Have you registered with class on Wednesday Morning with Ms. Paige before?
*
Yes, we are a returning family
No, we are a new family
Date
-
Month
-
Day
Year
Week 18 Class Date
Class Time
*
9:45am
10:45am
Caregiver's Name
*
First Name
Last Name
Children's Name(s)
*
Children's Age(s)
*
Children's Birth Date(s)
Caregiver's Relationship to Children?
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
How did you hear about this class?
Do you give Feelings Rock permission to share your child's photo on social media for promotional use?
*
Please Select
Yes
Yes - back of head only
NO
Favorites! Tell Ms. Paige which songs, activities &/ characters are a favorite for your little one(s) &/ you!
Anything else to share with Ms. Paige at this time?
Submit
Should be Empty: