Learn & Play Registration

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Learn & Play Registration

Participants must agree to attend all four weeks. Tuesdays, May 7, 14, 21, & 28 from 10-11 am. Please enter all required information on the form below.

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Full name of child/children
*

Your answer

Age of child/children
*

Your answer

Name of parent or caregiver attending
*

Your answer

Phone number of parent or caregiver attending *

Your answer

Full name of parent (if not above)

Your answer

Email of parent *

Your answer

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