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Baby Cafe Music Class registration

5 Classes June 26 - July 24 For ages newborn-3 years
Full Name*

First Name Last Name
Child's name*
Child's date of birth*

Month Day Year
Add another Child

Yes
Child Name

First Name Last Name
Child's date of birth

Month Day Year
E-mail*
Phone Number*

Area Code Phone Number

Payment*

Credit Card Paypal Venmo, Zelle, CashApp, Cash or Check when arrive

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Sign up for full session or individual classes* full session- $94~ individual class- $24

Full Session- $94June 26July 3July 10July 17July 24
Total

$0.00

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