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Registration Form
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Birthday Beans
Registration Form
Please fill out the information below for the children you have that will be enrolling in Balance Beans programs.
*
Indicates required field
Child Name
*
First
Last
Please enter first and last name of your child.
Second Child's Name
*
First
Last
If you have a second child enrolling in Balance Beans, please enter his or her name here.
Third Child's Name
*
First
Last
If you have a third child enrolling in Balance Beans, please enter his or her name here.
Parent Name
*
First
Last
Parent Phone Number
*
Parent Email
*
I certify that the following statements are true and accurate.
*
I am the legal guardian of the child (children) above.
I give my permission for my child (children) to be photographed or videographed for Balance Beans marketing purposes.
I will not hold Balance Beans, its owners or staff liable for any injuries my child (children) sustains during this program.
I certify that I have read and agree to all the policies post on the Policies page.
MOON BEANS
*
Tuesday Girls Gymnastics
Tuesday Preschool
Thursday Preschool
Thursday Girls - 9am
Thursday Preschool
Thursday Girls - 11am
Name of Your Child's Daycare or Location of Class
*
Child's Teacher or Class Room Name (if applicable)
*
List Health Conditions Your Child (Or Children) Has
*
Please note any physical restrictions or health issues that the instructor should be aware of.
Submit
Welcome
For Parents
For Daycares
Registration Form
Policies
Moon Beans
Our Teachers
Contact
Join Our Team
Birthday Beans