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Registration Form

Please complete the following fields to register your child for the kaleidoscope kids: YOGA program, running October 7 to November 25, 2017. One registration form is required per child.

Sections marked with an asterisk (*) are required.

Your Name *
Your Name
Your Child's Name *
Your Child's Name
Your Child's Birthdate *
Your Child's Birthdate
Your Phone Number *
Your Phone Number
Feel free to use this space to describe your child's needs or why you are interested in this group.
How did you hear about this group?