Let’s Play to Learn Registration

Name

Phone Number

Email Address

What date(s) of Let's Play to Learn do you want to sign up for? What date(s) of Let's Play to Learn do you want to sign up for? Thursday, 9/14: Animals & their Habitats (ages 3-4) Tuesday, 9/26: Music, Movement & Sensory Fun (ages 1-2) Monday, 10/16: Music, Movement, and Sensory Fun (ages 1-2) Friday, 10/27: Ooey Gooey Icky Sticky (ages 3-4) Monday, 10/30: Fall Stories, Singing, and Silliness (ages1-4) FULL - ADD TO WAITLIST Thursday, 11/9: Chick-a-Chick ABC and 123 (ages 3-4) Monday, 11/20: Mmm, Cookies! (ages 3-4) Wednesday, 11/29: Music, Movement & Sensory Fun (ages 1-2) FULL - ADD TO WAITLIST Friday, 12/8: I'm Bored (ages 3-4)

Please provide name(s) and age(s) of child/ren attending workshop

How did you hear about this workshop?

Would you like to be added to our email list in order to receive info about future classes? Would you like to be added to our email list in order to receive info about future classes? Yes No

Do you need childcare? Do you need childcare? Yes No

Please provide the name(s) and age(s) of child(ren) needing childcare