Program Registration Form V3 Adult Adult Adult Name * Adult Name First First Last Last Email * Phone * Children Number of children attending programs * 0 1 2 3 4 Child Child's Name * Child's Name First First Last Last Date of birth * Child Child's Name * Child's Name First First Last Last Date of birth * Child Child's Name * Child's Name First First Last Last Date of birth * Child Name * Name First First Last Last Date of birth * Program Request (Please, allow one full business day for processing) Program Name * Backyard Tea Party Bouncing Babies Build It, Build It, Build It Curious Connections Feeding Your Baby Kids in the Lab Lakefield Little Gardeners Let's All Calm Down Let's Talk About Sleep, Baby! Magic Mud Play Day! Pajamas Party Picnic Party Sensory Artists Sensory Babies Triple P One-On-One Triple P Seminar Series Wheelie Parade Date * Add another program Comments / Questions If you are human, leave this field blank. Submit
