Registration
Mommy & Me class is a 30-minute class designed for caregivers wanting to spend quality time with their child, create special memories and instill the importance of healthy exercise and a love for music and dance. We combine classical ballet and yoga-style stretching techniques to provide a well-rounded program that both grow ups and children enjoy doing together.
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email: (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
 
Questions/Options:
What is your child’s name?*
 
Additional Information:
 
Consent & Waiver
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I've read the above and agree.
 
COVID Waiver
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments: