Parent/Guardian Name is Required
Child's Full Name is Required
Your Child's Age is Required
Child's Date of Birth is Required
Child's Gender is Required
Does your child have any conditions that will affect play/learning? Please type YES or NO. If YES, please list conditions. is Required
Email address your child will log into class with if different than yours. is Required
Your BEST phone number is Required
Your Mailing Address, City, State, Zip is Required
If you signed up your child for the Friday Meet up, does he or she have any food allergies? If yes, please list them. if your child doesn't have any, write 'none'. is Required
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$40 / Week
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In Person Meetup – Initial Payment

$40 / Week

$40.00
Total $40.00