Class Registration and Payment
Collier Park | Fridays July 10–31 | $40 for the 4-week series ($10 single sessions available)
Parent Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Which group are you signing up for?
*
Please Select
First Bites — ages 5–18 mo (9:30–10:20 AM)
Sound Play — ages 2–3 yrs (10:30–11:20 AM)
Which Friday(s) are you registering for?
July 17
July 24
July 31
Child's first name & age
e.g. Mia, 14 months
Allergies or foods to avoid
Please list any allergies so we can keep snack time safe.
Any concerns or things you'd like to gain out of this group:
Class Registration Payment
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July Group Series (all 4 Fridays)
All four Fridays, July 10–31.
$40.00
$
40.00
Single Friday Session
Drop in for one Friday ($10). Note which date(s) above.
$10.00
$
10.00
Quantity
1
2
3
4
Debit or Credit Card
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
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2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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