Parent-Child Program Registration

Required

Spring 2022: April - June
MONDAY AM:
TODDLER OBSERVATION w/ Diane David
Location: Swedenborgian Church
Date: April 25, May 2, May 9, May 16, May 23 
Time: 9:30 - 11:00 AM
Cost: $225 (5 weeks)
TUESDAY AM:
EXPLORING NATURE TOGETHER w/ Karmin Guzder
Age: Babies to 36 months
Location: Corona Heights Park
Date: April 26, May 3, May 10, May 17, May 24, May 31, June 7
Time: 9:15 - 10:45 am
Fee:  $315 (7 classes)

WEDNESDAY AM:
BABIES OBSERVATION w/ Karmin Guzder

(postponed)

THURSDAY AM:
LOVING BOUNDARIES w/ Karmin Guzder

(postponed)

FRIDAY AM:
RETURN TO A FEELING OF SAFETY w/ Karmin Guzder

(postponed)

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Child/Participant Information
Child's Namerequired
First Name
Nickname (optional)
Middle (optional)
Last Name
Must contain a date in M/D/YYYY format
Have you previously attended one of our classes:required
How did you find out about our classes?check all that apply
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Parent/Guardian Participant Information
Parent/Guardian Namerequired
First Name
Nickname (optional)
Last Name
In case of location updates or other last minute information
Parent/Guardian #2 Name
First Name
Last Name
Emergency Contact
spouse/partner

Payment Information

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Cardholder Namerequired
Expirationrequired