Younglings Registration

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Please complete the following sections as completely as possible.

Email *

PLEASE NOTE:

We will offer modified movement activities for newborns to protect their head and prevent injury. Always use discretion and choose what is best for you and your baby. Most play occurs on the floor. If you require special accommodations to participate, please note below.

Parent Name, Phone Number *

Child Name/Age *

Any other pertinent information we should know to help you and your child Play and Grow? Examples include allergies, special accommodations. *

Course Schedule *

Younglings Friday 12:00 - 12:45 PM (starts Mar 19th)

Younglings Tuesday 12:00 - 12:45 PM (pending interest)

Required

Support *

I would benefit from a mentor for our home routine.

We are doing well, thank you.

I am interested in being a mentor to another parent.

Email us if you have any questions. programs@cvplayandgrow.com