February Break Group Classes
Price for each group is listed below. If you sign up for multiple classes we offer a 10% discount. A 10% discount will also be applied to siblings registering for our groups.
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Email *
Childs Name *
Gender
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Birth Date *
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Parent/Guardian Name *
Cell Phone *
Address
Please click which class and date you are signing up for.
February Break Group Classes Feb 21 & 23  10:30-11:15
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February Break Group Classes Feb 20 & 22  11:30-12:15
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February Break Group Classes Feb 21 & 23, 2:00-2:45pm
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How did you hear about our classes
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Does your child receive services?
Does you child have a diagnosis?
Is there anything we should know about your child?
Payment is requested after the registration form is received, reviewed and accepted. Payment may be made in the form of cash, check, Paypal, Venmo or Zelle.
How would you prefer to pay for the class? Payment is required prior to the first day of class.
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I give permission to allow my child to be photographed for promotional purposed. *
Health: I understand that it is my responsibility to consult a physician regarding my child’s participation in all programs offered by The Kidz Lounge prior to attending. I believe that my child is in good health and in proper physical condition to participate in such activities. I understand that it is my responsibility to inform The Kidz Lounge, of any injuries and/or limitations that might affect their ability to participate in a registered class.
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Attendance Policy: Make-up classes are only offered if the class is cancelled by the instructor. No make- ups for missed sessions.
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