Group Classes Registration

Parent's First Name:
Parent's Last Name:
Email:
Phone #:
Address:
Zip Code:
Child's First Name:
Child's Last Name:
Child’s Age:
Program:
Location:
Session Details:

Dates: From Tuesday September 5 through Tuesday December 19, 2017
Class schedule: Tuesdays from 10:45-11:30 AM
Tuition: $680.00 (16 classes)

Payment Method:
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