CEC TODDLER TIME SIGN UP FORM

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Please use this form to sign your toddler up for CEC's monthly toddler time program.

Child's Name *

Child's Age *

Adult's Name *

Phone/Email *

Month(s) you are signing up for *

Payment: The fee for Toddler Time is $5 per member and $7 per non-member the day of the program. *

Day of Payment

Online payment via https://donatenow.networkforgood.org/copeenvironmental. (Please note 'Toddler Time' in the dedication field.)

Payment via Mail

I understand that I will have to pay the registration fee previous to, or upon arrival to participate. *

Yes

Required

Does your child have any allergies? (please list, or say none) *

How did you hear about toddler time? (optional)

Submit

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