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Class Information

Location: DuPont : Clocktower Park Day: Friday Class: Mommy/Daddy & Me (2 - 3 1/2 yrs) Time: 5:45-6:15pm Dates: 9/13/19 — 10/25/19 Meetings: 6 Class Price: $79.00

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)

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