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Class Information

Location: University Place : Cirque Bridgeport Park Day: Tuesday Class: Mommy/Daddy & Me (2 - 3 1/2 yrs) Time: 4:00-4:30pm Dates: 4/17/18 — 6/5/18 Meetings: 8 Class Price: $90.00

Student Information

*First Name:

Last Name:

Date of Birth: (mm/dd/yy)

Parent/Guardian Contact Information

First Name: Address/P.O.Box: City:

Last Name: Suite or Apt.: (optional)

State: ZIP/Postal Code: Country: Email Address:

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