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Click below to be redirected to the Weekly Registration form for Feelings Rock with Ms. Paige!
Wednesday Evening with Ms. Paige
Weekly registration form for the evening class on Wednesday, September 23rd @ Dellwood Park
Have you registered for class on Wednesday Evening with Ms. Paige before?
*
Yes, we are a returning family with Ms. Paige
No, we are a new family with Ms. Paige
Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Caregiver's Name
*
First Name
Last Name
Children's Name(s)
*
Children's Age(s)
*
Children's Birth Date(s)
Caregiver/Child Relationship?
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?
Next Class: Feelings Rock @ Family Tree Restaurant - Wednesday October 22nd
Please click the button below to go to the registration form for the evening class on Wednesday, October 22nd at Family Tree Restaurant!
Go to Weekly Registration
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