Wednesday Evening with Ms. Paige @ Family Tree
Weekly registration form for the evening class at 5:30pm on Wednesday, May 13th@ Family Tree Restaurant! Kids eat FREE before or after class!!!
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
The 2nd Wednesday in May
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?
Submit
Should be Empty: