little ones learn:registration parent #1 * First Name Last Name mobile phone * (###) ### #### email * parent #2 First Name Last Name mobile phone (###) ### #### address * Address 1 Address 2 City State/Province Zip/Postal Code Country child #1 * First Name Last Name age * date of birth * MM DD YYYY child #2 First Name Last Name age date of birth MM DD YYYY child #3 First Name Last Name age date of birth MM DD YYYY child #4 First Name Last Name age date of birth MM DD YYYY medical conditions, food allergies, or special circumstances Please list any medical conditions, food allergies, or special circumstances of which we should be aware. photo release * I understand that photos of my child may be taken, and I authorize them to be used for publicity. check here Do you have a copy of The Beginner’s Bible? * yes no registration fee * one child: $15 more than one child: $25 payment * If the fee presents a hardship for your family, please call the office. credit (online only; see below) cash check Thank you! Please pay the registration fee below.
