Registration

The Family Inspired

"*" indicates required fields

Child's Name*

Child's DOB*

Does your child have any allergies?*

Please describe your child's allergy

Caregiver's Name*

Email*

Phone*

Which session would you like to attend?*

February 10th, 10:00am - 11:00am ($15)

February 24th, 10:00am - 11:00am ($15)

Family Inspired

Would you like to bring a sibling?

Add 1 sibling

Add 2 siblings

Add 3 siblings

Add 4 siblings

Credit Card*

Billing Address*

How did you hear about us?*

Discount Code

Total

Phone

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