Wednesday Evening with Ms. Paige
CLASS CANCELLED TONIGHT
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
-
Month
-
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!
Register!
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