Morning Glories Parent-Child Class Registration


Parent 1

Parent 1 Full Name:
Parent 1 Phone #(s):
Parent 1 E-mail:
Parent 2
Parent 2 Full Name:
Parent 2 Phone #(s):
Parent 2 E-mail:
Emergency Contact
Emergency Contact(s) Full Name(s):
Emergency Contact(s) Phone(s):
Address
Street:
Street 2:
Town
State
Zipcode:
Country

Child 1

Child 1 Full Name:
Child 1 Birthdate:
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Child 1 Gender:
Child 1 Allergies:
Child 2
Child 2 Full Name:
Child 2 Birthdate:
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Child 2 Gender:
Child 2 Allergies:
Please select a session:
Tuesdays: Creepers, Crawlers and Early Walkers, For ages 9  to 18 months
Wednesdays and Thursdays: Terrific Two’s and Three’s, For ages 19 months to 3 years
Fall, Tuesday  @ $335.00
Fall, Wednesday  @ $335.00
Fall, Thursday  @ $335.00
Winter, Tuesday  @ $335.00
Winter, Wednesday  @ $335.00
Winter, Thursday  @ $335.00
Spring, Tuesday  @ $335.00
Spring, Wednesday  @ $335.00
Spring, Thursday  @ $335.00
Form Total: $0.00
How did you Hear about us?
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