Little Movers at the BE Registration
Register your child for our playful music & movement class at The Blue Elephant Play Place! 30 Minutes of movement and music, 30 minutes of play! Please review program info and complete all required fields.
Class & Program Information
Child’s Full Name
*
First Name
Last Name
Child’s Date of Birth or Age
*
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you a BE member?
*
Yes
No
I acknowledge that a $25 registration fee is due at sign-up (waived for BE members).
*
I acknowledge the $25 registration fee due at sign-up (waived for BE members).
I agree to the monthly tuition of $60.
*
I agree to the monthly tuition of $60.
I understand tuition is due on the 1st of each month and continues monthly.
*
I agree tuition is due on the 1st of each month and continues automatically
I agree to class policies and payment terms.
*
I agree to class policies and payment terms.
I agree to the liability waiver and participation consent.
*
I agree to the liability waiver and participation consent.
I consent to photo/video of my child being used for promotional purposes (optional).
I consent to photo/video use (optional).
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Registration Fee (Per Child)
$25.00
$
25.00
Quantity
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Payment Methods
Choose from one of the PayPal options to
make your payment.
Register
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