Child's Name *

First Name

Last Name

Child's Date of Birth *

MM

DD

YYYY

Parent/Guardian Name *

First Name

Last Name

Which class are you interested in for your child? *

Monday/Wednesday/Friday 9am to 12pm class for 2 to 3 year olds (we may add this class as our other MWF class is full - please choose this option if you would like to be notified if this class is added to our schedule)

Tuesday/Thursday 9am to 12pm for 2-3 year olds (this class has a long waitlist)

Tuesday/Thursday 9.15am to 11.15am for 2-3 year olds