Mountain Sprouts Classes
Complete the form to register your child for the class.
Participant's Full Name
*
First Name
Last Name
Participant's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 2 Name
First Name
Last Name
Parent/Guardian 2 Email
example@example.com
Parent/Guardian 2 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name if parent contacts cannot be reached
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Any Allergies or Medical Conditions?
Tuition Payment
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Mountain Sprouts Music & Movement Mondays 10:00-10:30 (1-2 year olds)
October 5-26 - caregiver attend with child
$50.00
$
50.00
Mountain Sprouts Music & Movement Mondays 10:45-11:15 (3-4 year olds)
October 5-26 - drop off
$50.00
$
50.00
Mountain Sprouts Yoga Together Mondays 11:30-12:00 1-5 year olds
October 5-26 - caregiver attend with child
$50.00
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Rock & Roll Preschool: Monday 4-4:45
Ages 3-6 years - drop off
$60.00
$
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Register
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