PG Registration Form 2011

Document Sample
PG Registration Form 2011 Powered By Docstoc
					 Date:__________      Time:__________

 Parent: __________________________________________
 Phone: _______________ Email: ____________________
 Address:_________________________________________

 Child's Name:______________________________________
 Siblings that will also attend:___________________________

             Play Group April 18th - May 27th


Sessions... (Indicate Choice #1 and #2. Put 0 if only one option)



Monday 10-11:30 ______________(18mo-5yr)

Tuesday 9-10:15 ______________(6-24mo)

Tuesday 10:30-11:30 ____________(18mo-5yr)

Wednesday 9-10:15 _________(18mo-5yr)

Wednesday 10:15-11:30_________(18mo-5yr)

* Confirmation of group will be sent by Friday April 8th!

Office use: _______

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:2
posted:10/6/2011
language:English
pages:1