Caregiver Info *

First Name

Last Name

Phone

(###)

###

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Child Info

First Name

Last Name

Which FALL class are you interested in?

Hatchlings (babes-in-arms) Tuesdays 9:15a-10:45a Oct 7-Dec 16 (10 classes)

Chicks (toddlers) Tuesdays 11a-12:30p Oct 7-Dec 16 (10 classes)

Payment

I understand that payment of $460 is required to complete registration.