Little Song Parent-Child Playgroup Application
 
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Email *
Child's Information:
Child's Full Name *
Sex *
Birth Date *
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Please marks all session(s) you would like your child to attend. Tuition is $120 for each parent-child pair per 6-week session & $60 for the mini 3-week session.  Fall 2021 sessions meet on Mondays, from 3-5. *
Required
Parent or Guardian's Information
(1) Parent or Guardian's Name *
Mobile Phone *
Email Address *
(2) Parent or Guardian's Name
Mobile Phone
Email Address
Additional information
Who will be attending with the child?  If different from above, please give name and phone number. *
Do you or your child have any medical conditions or allergies? *
What previous experience does your child have with playing/ learning in groups like this ?   *
Why are you choosing Little Song Parent-Child Playgroup for your child; ie, what are you hoping for (for yourself and your child) from this experience?   *
If Little Song has only one teacher per session, we ask that all families take one turn to be the teacher's helper for a day (help with set-up and clean-up; come a little earlier and stay a little later).  Will taking a turn like that be possible for your family?
Any other questions or concerns about Little Song? *
How did you find out about Prairie Flower Children's Center? *
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