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ENRICHMENT REGISTRATION
LITTLE SPROUTS & ME REGISTRATION
PAYMENT INFORMATION
CONTACT US
ABOUT US
HOME PAGE
ENRICHMENT REGISTRATION
LITTLE SPROUTS & ME REGISTRATION
PAYMENT INFORMATION
CONTACT US
ABOUT US
Registration Form
Ages 4 & Up Enrichment
Child's First & Last Name
*
Child's Birthday
*
Month
Day
Year
Parent's First & Last Name
*
Address
Phone
*
Email
Previously Enrolled
*
Yes
No
Dietary Restrictions
*
None
Vegetarian
Vegan
Gluten Free
Kosher
Other
Specialty Classes
*
Ages 4 & Up Monday's 11:45-1:45 PM Kindness in Action Home Location
Ages 4 & Up Wednesday's 11:45-1:45 PM Literacy Lab Home Location
Ages 5 & Up Thursday's 11:45-1:45 PM Art Explorers Home Location
This is a co-op. A parent or guardian is required to be present at all times. Please click below
*
I agree to these terms and conditions
Authorized person(s) to contact or release a child to in an emergency, if parent cannot be reached. Please list name and phone number
*
Signature
*
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