Jumping Beans (Sign Up Form)

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Jumping Beans (Sign Up Form)

A high energy & Active program for 0-6 yrs. This is offered at the Wesleyan Church in Jacksonville (340 Lockhart Mill Road) and allows for LOTS of free play as well as songs & a story.

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Location *

Woodstock, NB

Your Name *

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Your Role *

Parent

Caregiver

Physical Address *

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Phone Number *

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Alt. Phone Number

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Email Address *

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Child(ren) name(s) *

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Date of Birth *

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Other Children

Please list the names of your other children and their dates of birth...

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How did you hear about us? *

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