Wednesday Morning with Ms. Paige
Registration form for the Wednesday morning class at 10:15am on April 16th @ Payne Park*
Have you registered with class on Wednesday Evening with Ms. Paige before?
*
Yes, we are a returning family
No, we are a new family
Date
-
Month
-
Day
Year
Week 15 Class Date *Temporary Location Change
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.
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: