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Enrolment for: Barrhaven Fall 2017
Thursdays
- from Sep 14 to Dec 21 (15 weeks)
Instructor:
Taylor
Select age group:
*
-- Please select an age group --
1-2 yrs at 10:00am
2-4 yrs at 10:45am
0-1 yrs at 11:30am
Child(ren) enrolled - click '+' to add siblings.
*
Child's First Name
Child's Last Name
Child's Birth Date
dd/mm/yyyy
Parent first name
*
Parent last name
*
Home Phone
*
Cell/Alternate Phone
Email
*
NOTE: Hotmail addresses have been experiencing difficulties with receiving notifications. If you have another address you can use, it is recommended. Contact us for details.
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
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Newfoundland & Labrador
Northwest Territories
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Prince Edward Island
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Postal Code
Caregiver Information
Full Name of Cargiver
*
This is the person who will bring the child to class most often.
Caregiver's Relation to Child
*
Parent
Grandparent
Nanny
Aunt/Uncle
Emergency Contact Name
*
If the caregiver had a medical emergency in the class, who should we call
Emergency Contact Phone
*
Do you wish to be added to our mailing list to receive notifications about theme weeks, public shows, etc? You can unsubscribe at any time.'
Yes
I have read and understand the photo policy?
*
Yes
PHOTO POLICY: You are welcome to take pictures of your child and the instructor at Monkey Rock Music classes, but please make an effort to exclude other children from your photos. Video is prohibited.
Please Select
*
I authorize MRM to use our pictures
Please DO NOT use our pictures
During Monkey Rock Music classes, staff may take pictures of all adults and children for potential use in marketing materials, including but not limited to website, newsletters, print ads, etc. If you would prefer that you and your child's image not be used, please indicate below. Note that you and your child's picture may still be taken in class, but the image will be cropped or edited to ensure your wishes are respected.
How did you hear about us?
From a Friend
Saw MRM at a party or play group
Found your web site through general search
Poster
Saw MRM at an event
The Baby Show
Facebook
Kids in the Capital
Macaroni Kids
Other
Other
Any questions/concerns about your enrollment?
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Price:
-4,676
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