Parent/Legal Guardian Name 1 *

First Name

Last Name

Parent/Legal Guardian 2

First Name

Last Name

Child Name 1 *

First Name

Last Name

Child 1 Birthday *

MM

DD

YYYY

Child 2 Name

First Name

Last Name

Child 2 Birthday

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone *

(###)

###

####

Class Time *

Mondays, 5-5:40 p.m. (2-3 year olds)

Wednesdays, 10-10:40 a.m. (2-3 year olds)

Saturdays, 9:15-9:55 a.m. (2-3 year olds) - WAITLIST ONLY

Saturdays, 10-10:40 a.m. (2-3 year olds) - WAITLIST ONLY

Saturdays, 10:45-11:25 a.m. (3.5-5 year olds) - WAITLIST ONLY

T-shirt Size

2T

3T

4T

5/6