Application for Morning Glories

For children ages 1–5 years old. Please note:  Our Tuesday and Friday morning programs are full for the fall session. Please contact Marilyn Pelrine to get on a waitlist.

Child's name *
Child's name
Child's birthdate *
Child's birthdate
Siblings will come to class with parent and child
Parent/Caregiver #1 *
Parent/Caregiver #1
Phone *
Phone
Address *
Address
Parent/Caregiver #2
Parent/Caregiver #2
Phone
Phone
Address
Address
Correspondence should be addressed to: *
How did you hear of our program? Please check all that apply. *
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