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Events & Classes

Mommy & Me

Reservations
Name of Child *

First Name Last Name
Age of Child *
Classes Attending*

Dec. 4 - $20Dec. 11 - $20
Additional Child?*

NoYes
Name of Child 2*

First Name Last Name
Age of Child 2*
Classes Attending Child 2*

Full Session $50July 10 $20July 17 $20July 24 $20
Where did you hear about Mommy and Me?
Contact Info
Parent Name*

First Name Last Name
E-mail*
Phone Number*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Payment
Total

$0.00

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