Mommy & Me Montessori

Registration

 
 
 
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MOMMY AND ME MONTESSORI - ONLINE REGISTRATION
STEP 1:  Complete and submit this form online.
STEP 2:  Submit payment. 
PAYMENT INSTRUCTIONS:
Once you've completed and submitted your registration form online,
you will need to submit payment securely online by using the
"Pay Now" button on the Schedule/Fee page of this website.
Registration is not complete until payment has been received and space is confirmed.

The fields marked with (*) are required fields.

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Select  Session

2012 Fall Session #1, Unavailable.
2012 Fall Session #2, Unavailable.
2013 Winter Session, Dates TBD
2013 Spring Session, Dates TBD

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Select One Class
Mondays, 10am-11am
Tuesdays, 10am-11am
Wednesdays, 10am-11am

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Child's Name
 * required

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Child's Date of Birth
 * required

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Parent's Name
 * required

*

Address Line 1
 * required
 
Address Line 2

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City
 * required

*

State
 * required

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Zip Code
 * required
 
Country

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Telephone Number
 * required

*

Email Address
 * required

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How did you hear about Mommy and Me Montessori? 
If a friend referred you, please give us his/her first and last name so that he/she can earn credit in our Friend Referral Program -- Refer 3 friends who register and pay for a full 8-week session and receive your next session free!

*

Where do you look for parent/child classes (specify which publications, groups, websites, etc.)?
 
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