Terrific Toddlers - Waitlist
Please provide your information below to be added to our cancellation list:
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Email *
Caregiver First Name *
Caregiver Last Name *
Child(ren)'s First Name(s) *
Child(ren)'s Date of Birth *
Town *
How many children in your household? *
How many children participating in this play & learn group? *
What is your preferred home language? *
MEDIA RELEASE: Throughout the program year, families may be highlighted in efforts to promote The Coalition for Children and its programs. Children and caregivers may be featured in materials to increase public awareness through our website, newsletters, radio, newspapers, TV, bulletin board displays, flyers, brochures and other types of social media. As the parents or guardian of the child(ren) identified above, I understand that my child’s image and/or likeness may be captured by still photography, videography, or other photographic or electronic means unless indicated otherwise below. The Coalition for Children reserves the right to use any such image, photograph, video or the like for program-related purposes. *
How did you hear about this event? *
Thank you for registering. Look for a confirmation email with detailed directions soon!
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