Payment Form
Please complete the form below to Pay for the class and secure your child's spot. Please review registrations form for rules and regulations. If you are registering more than one child please be sure to include each child's name and age. The registration fee is waived for each additional sibling registered.
Child's Name
First Name
Last Name
Child's Age:
Class registering for
9:30 am-10:30 am
10:30 am-11:30 am
If you have additional children registering please provide info below.
Sibling Name:
First Name
Last Name
Child's Age
Class registering for
9:30 am-10:30 am
10:30 am-11:30 am
Sibling Name:
First Name
Last Name
Child's Age:
Class registering for
9:30 am-10:30 am
10:30 am-11:30 am
Guardian
First Name
Last Name
Cell:
-
Area Code
Phone Number
E-mail
My Products
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Yoga bundle WITH registration fee
$
135.00
Number of Children Registering
0
1
2
3
4
5
Total
$
0.00
Submit
Should be Empty: