Registrant Information(Required) First Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Sign up for all 6 classes for $75.00 each child - October 13, 20, 27, November 3, 10, 17 Child 1 Child 2 Child 3 Child 4 October 13 - - $14 per child - $12 additional siblings - 1 Child 2 Children 3 Children 4 Children October 20 - - $14 per child - $12 additional siblings 1 Child 2 Children 3 Children 4 Children October 27 -- $14 per child - $12 additional siblings 1 Child 2 Children 3 Children 4 Children November 3-- $14 per child - $12 additional siblings 1 Child 2 Children 3 Children 4 Children November 10 -- $14 per child - $12 additional siblings 1 Child 2 Children 3 Children 4 Children November 17 -- $14 per child - $12 additional siblings 1 Child 2 Children 3 Children 4 Children Child's Name(Required) Age - 6 - 36 months(Required)Child's Name(Required) Age - 6 - 36 months(Required)Child's Name(Required) Age - 6 - 36 months(Required)Child's Name(Required) Age - 6 - 36 months(Required)Product NameTotal Credit CardCard Details Cardholder Name
