Feelings Rock July Classes with Ms. Stacey
Please join me outdoors at different locations each week. Text me if you need anything 716-523-6937
Adult Name(s)
First Name
Last Name
Child/Children's Names & Ages (list all here; you don’t need a new form for multiple children just one)
First Name(s)
Age(s)
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Join me outdoors at different locations
Sunday, July 26th@10:30am-11:15am @Dodge Elementary ($15 per family) 1900 Dodge Rd East Amherst, 14051
Email
example@example.com
How would you like to pay for class?
Pay Cash @class
Venmo @stacey-doldan
Cashapp $StaceyDoldan
Would you like to receive information on upcoming events/classes?
Yes
No
Do you give me permission to take pictures of your child/children to showcase what classes look like to others and the fun we have in each class?
Yes
No
Would you like to me to celebrate your child’s birthday this weekend if your child’s bday is in the month of July by singing to him or her in the beginning of class? I will message you to confirm & how old your child just turned or will be turning :)
Yes
No
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