Thursday Afternoon with Ms. Paige
Registration form for the Thursday afternoon class at 3:00pm on November 6th @ Painted Love
Have you registered with class on Thursday Afternoon with Ms. Paige before?
*
Yes, we are a returning family
No, we are a new family
Date
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Month
-
Day
Year
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: