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Parent and Me Registration 2023-2024 form
Please verify reCaptcha before submitting the form.
Child Information
Child Name
Birthdate
Child Name
Birthdate
Parent Information
Parent Full Name
E-Mail Address
Cell Phone No.
Home No.
Address
Parent Full Name
E-Mail Address
Cell Phone No.
Home No.
Address
*
Class Choice
Baby and Me Class-Tuesdays from 9:00am-10:00am(Parents with children ages birth- 1 year old)
Toddler Time Class - Tuesdays from 10:30am - 12:00pm (Parents with children ages 1 year to 2 years old))
Please select the class you wish to join. Classes will be billed monthly unless canceled with the ECE office.
Amount Received
Sun, September 15 2024 12 Elul 5784