{Listen & Learn for Little Ones} Registration

Select Your Class of Choice*

Ages 0-4 // Mon AM (Molly) // 10:30 am
Ages 0-4 // Thurs AM (Emma) // 9:30 am
Ages 0-4 // Wed PM (Molly) // 6:00 pm

Child's Name*

First Last

Child's Date of Birth*

Your Name*

First Last

Email*

Phone*

Photo & Video Release*

Photos and videos may be used for promotional purposes on our website, social media, and print materials. If you do not grant permission, photos and videos of your children will not be used outside of class for any reason.

Special Considerations

Please list any allergies, special needs, or other issues so that your child can be best served during the course of this class.