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A FUN WIGGLE AND GIGGLE TIME FOR NURSERY AND PRESCHOOL AGED CHILDREN! JOIN US FOR STORY TIME, CRAFTS, SNACK, AND OF COURSE A BARREL OF FUN FOR YOU AND YOUR LITTLE ONE!
First Name:
*
Last Name
*
Cell Phone Number?
*
Email?
*
Spouse First Name:
Spouse Last Name
Cell Phone Number?
Email?
Which date(s) would you like to attend?
*
September 16th
October 21st
November 18th
CHILD REGISTRATION
Please fill in the below information. For ALL kids attending
How many kids?
*
0
1
2
3
4
5
Child's Name?
DOB (MM/DD/YY)?
Grade?
Allergies?
2nd Child's Name?
2nd Child DOB (MM/DD/YY)?
2nd Child's Grade?
2nd Child's Allergies?
3rd Child's Name?
3rd Child DOB (MM/DD/YY)?
3rd Child's Grade?
3rd Child's Allergies?
4th Child's Name?
4th Child DOB (MM/DD/YY)?
4th Child's Grade?
4th Child's Allergies?
5th Child's Name?
5th Child DOB (MM/DD/YY)?
5th Child's Grade?
5th Child's Allergies?