Sign up - BABY & ME

baby + me sign-up

ages: 1-3 yrs, with parent

SCHEDULE:

Saturday, July 13 / 9:30 - 11:00am

[More dates TBA]

Located at the picnic table at 4659 16th St, Detroit

BABY + ME CLASSES ARE DONATION-BASED. ALL DONATIONS GO DIRECTLY TOWARDS SUPPLIES FOR OUR FREE PROGRAMS.

Class Date

Child Name

First Name

Last Name

Age

Please provide age in months if under two years old

Parent or Guardian Attending

First Name

Last Name

Parent Email

Parent Phone

(###)

###

####

Best Method of Contact for Reminder Notice

Does your child have any allergies?

Yes, my child has allergies

No Allergies

If yes above, please describe any allergies

How did you hear about us?

Any questions? Anything else I should know?