Baby Cafe

The uniqueness of our mommy & me program is the social aspect! All children must be accompanied by their mother / grandmother.

Child's Name

First NameLast Name

Child's Birthday

Date

Parent Name

First NameLast Name

Email

example@example.com

Cell Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

As many camps will be over before August 20 - big siblings are encouraged to join us! Please list the name & age of any older siblings that will be joining us on Thursday, August 20

Mommy & Me Payment

Mommy & Me August 12

$15.00

Mommy & Me August 20

$15.00

Additional Siblings Joining - August 20

$10 / Sibling

$10.00 Number of Siblings Joining

Enter coupon

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year