Early Learning Form | Interplay Services

Early Learning Registration

Registration fees:
$ 50.00 non-refundable deposit
$ 250.00 session fee due on the first day of 8 classes.
e-Transfer to hello@interplayservices.com

Which class are you registering for?

Children ages 2-3 years - Group classes with adult participation

Children ages 4-5 years - Group classes with adult observation

Child's name

First Last

Child’s date of birth

Name of Participating Adult

First Last

Email

Cell

Preferred method of communication

email

text

telephone call

If your child attends school and/or other organized lessons or recreational activities, please list:

What do you hope to gain from this experience for both your child and for you as the participating adult?

Helpful information

Please tell us a little bit about your child, including any known allergies.