Welcome to The Learning Stop

Move and Groove Classes
Enrollment Form

First Name of Child(ren):
Last Name of Child(ren):
Child or children's birthdate(s):
First Name of Parent or Caregiver:
Last Name of Parent or Caregiver:
Address #1:
Address #2:
City:
State:	Zip Code:
Phone Number:	- -
E-Mail Address:

Enrollment Sessions Important Notes: There is one five-week Summer session being offered. There is a non-refundable registration fee for all classes. $20 fee due at time of registration—will be deducted from class fee
Check	Session	Day/Time	Cost
	Summer Session 6/27/08-8/1/08 (No class on 7/4/08)	Fridays, 9:30-10:30 5 weeks (3-6 year-olds)	$65.00
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You may enroll online OR click here to download and print the Summer Enrollment Form and Waiver to complete your child's registration.

You will need Adobe Acrobat to view the Enrollment Form and Waiver. Click here to download this free software.