MoveAbilities Registration - Eugene 2019                                      July 22-25
Please indicate your scheduling preferences below
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Email *
Client name: *
Parent/guardian  name (if applicable):
Kathy's Availability:
Monday lessons beginning after 12:00pm
Tuesday 9am - 6pm
Wednesday 9am - 6pm
Thursday 9am - noon
How many lesson would you like? *
1 lesson
2 lessons
none
Monday
Tuesday
Wednesday
Thursday
Scheduling preferences/restrictions
Please list any times that are BEST for you/your child or absolute NO-GO"s for you/your child.

Preferences (if any):
Restrictions (if any):
Questions/comments for Kathy:
You will receive a confirmation from Kathy or Amanda shortly.
Thank you.
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