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Mom & Tot Registration

Mom & Tot Registration

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Mother's full name:

Child's full name:

Telephone number:

Email address:

Time choice for upcoming winter session:

9:15-10:15 (1 yr+)
10:15-11:15 (1 yr+)
11:15-11:45 (infants)

Donations optional

I would like to give a donation in the amount of: $

Payment: Visa MC

Card number

Exp month and year



City , Province Postal

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