FUN Class Registration Form
Please fill in the form below.
Child's Name
*
First Name
Last Name
Birthdate (mm/dd/yy)
Grown Up's Name
*
First Name
Last Name
Relationship to Child
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
What day(s) will you be attending FUN Class?
My Products
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( X )
1 Month Unlimited Membership
$
75.00
4 Stamps (4 FUN Classes)
$
60.00
'Pop The Bubbles' Book (Required for 1st time families)
$
12.95
Total
$
0.00
Submit Form
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