Wednesday 6/10 @ West Canal Park

Wednesday Morning with Ms. Paige

Registration form for the Wednesday morning class at 10:15 on June 10th@ West Canal Park*
Have you registered with class on Wednesday Morning with Ms. Paige before?
Date

MonthDayYear
Week 2 Class Date
Class Time
Caregiver's Name

First NameLast 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?
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?
*Note: Class location subject to change based on weather, check email for more information!
*Note: Class location subject to change based on weather!
Should be Empty:

Wednesday Morning with Ms. Paige