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Class Information

Location: Simi Valley : Berylwood Park Day: Monday Class: Mommy/Daddy & Me (2 - 3 1/2 yrs) Time: 5:15-5:45pm Dates: 7/2/18 — 8/20/18 Meetings: 8 Class Price: $80.00

Student Information

*First Name:

Last Name:

Date of Birth: (mm/dd/yy)

Parent/Guardian Contact Information

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Last Name: Suite or Apt.: (optional)

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