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Mommy and Me

Scroll down to register.
Child's Name*
First NameLast Name
My child's DOB:
MonthDayYear
Mom's Name*
First NameLast Name
E-mail*
Phone Number*
Area CodePhone Number
Full Session:
Yes, I'd like to sign up for the Full Session (6 weeks) - $75
Yes, I'd like to sign up for individual classes - $15/class:
Sept 20th - $15Sept 27th - $15Oct 4th - $15Oct 11th -$15Oct 18 - $15Oct 25th - $15
Birthday Sponsors!
Celebrate your child's birthday at Mommy & Me! Birthday cake & gift included, and bring along up to two friends for free!
Yes, I'd love to sponsor one week's Mommy & Me in honor of my child's birthday - $100
Sept 20thSept 27thOct 4thOct 11thOct 18Oct 25th
Total
$0.00

Payment*

Credit Card Paypal

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