Registration Form
To register:
- choose the class that’s right for you and your child.
- print the form below.
- fill in the necessary information.
- send to the address indicated along with a check for the appropriate amount.
- if you have any further questions please contact us by phone or email.
- please note: no confirmation of your enrollment will be sent.
| name____________________________ | child’s name________________ | child’s birthdate______ |
| street____________________________ | town_______________, NJ | zip__________ |
| telephone#____________________ | how did you hear about us? _________________ | |
| class#1___________________________ | day/time_______________ | fee__________ |
| class#2___________________________ | day/time_______________ | fee__________ |
| class#3___________________________ | day/time_______________ | fee__________ |
| annual registration fee | $15 | |
| *$20 discount for 2 classes per week | total | _____________ |
| Make checks payable to Toddlers in Motion and send to our office location: | ||
| Toddlers in Motion | ||
| P.O. Box 43401 | ||
| Upper Montclair, NJ 07043 | ||
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