8/18/15 Movie Night

Movie Night at ASPIRE
ASPIRE Center for Learning and Development

Ages:
7-11 years old

Date/Time:

Tuesday, August 18, 2015

6:00pm-8:00pm

Location:

ASPIRE Center-"The Garden"

2562 New York Avenue

Melville, NY 11747

Cost:
$35

Facilitator:
Alisa Sandler, MS, CCC-SLP
Attendee Name
Attendee DOB

MonthDayYear
Parent(s) Name
Home Address
Primary Phone Number

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
E-mail Address
Allergies or Medical Concerns
Cash or Check - postal mail*Cash or Check - in person*
By clicking "submit," you are indicating consent for your child's attendance at this event and responsibility for recreation fee listed above.
Should be Empty:

Movie Night at ASPIRE