Play N' Learn Registration

FRC Play N' Learn Spring Session 2012 Registration Playgroups run from Tuesday February 20th – Wednesday April 4th. There will be no class the week of Spring Break March 20th & 21st.

Parent/Guardian's Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Antigua and Barbuda Aruba,Bahamas Barbados Belize Canada Cook Islands Costa Rica Cuba Dominica Dominican Republic El Salvador Grenada Guatemala Haiti Honduras Jamaica Mexico Netherlands Antilles Nicaragua Panama Puerto Rico Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Trinidad and Tobago United States Argentina Bolivia Brazil Chile Colombia Ecuador Guyana Paraguay Peru Suriname Uruguay Venezuela Albania Andorra Armenia Austria Azerbaijan Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Faroe Islands Finland France Georgia Germany Greece Hungary Iceland Ireland Italy Latvia Liechtenstein Lithuania Luxembourg Macedonia Malta Moldova Monaco Montenegro Netherlands Norway Poland Portugal Romania San Marino Serbia Slovakia Slovenia Spain Sweden Switzerland Ukraine United Kingdom Vatican City Afghanistan Bahrain Bangladesh Bhutan Brunei Darussalam Myanmar Cambodia China East Timor Hong Kong India Indonesia Iran Iraq Israel Japan Jordan Kazakhstan North Korea South Korea Kuwait Kyrgyzstan Laos Lebanon Malaysia Maldives Mongolia Nepal Oman Pakistan Palestine Philippines Qatar Russia Saudi Arabia Singapore Sri Lanka Syria Taiwan Tajikistan Thailand Turkey Turkmenistan United Arab Emirates Uzbekistan Vietnam Yemen Australia Fiji Kiribati Marshall Islands Micronesia Nauru New Zealand Palau Papua New Guinea Samoa Solomon Islands Tonga Tuvalu Vanuatu Algeria Angola Benin Botswana Burkina Faso Burundi Cameroon Cape Verde Central African Republic Chad Comoros Democratic Republic of the Congo Republic of the Congo Djibouti Egypt Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Gibraltar Guinea Guinea-Bissau Cote d'Ivoire Kenya Lesotho Liberia Libya Madagascar Malawi Mali Mauritania Mauritius Morocco Mozambique Namibia Niger Nigeria Rwanda Sao Tome and Principe Senegal Seychelles Sierra Leone Somalia South Africa Sudan Swaziland United Republic of Tanzania Togo Tunisia Uganda Zambia Zimbabwe Country

Phone Number *

### - ### - ####

Email *

Child's Name {1} *

First Last

Child's Age {1} *

Child's Name {2}

First Last

Child's Age {2}

Playgroup First Choice *

Tuesdays 9-10:15 (18 mo-5yr)   Tuesdays 10:30-11:30 (6-24 mo)   Wednesdays 9-10:15 (18 mo-5yr)   Wednesdays 10:30-11:30 (18 mo-5yr)

Playgroup Second Choice *

Tuesdays 9-10:15 (18 mo-5yr)   Tuesdays 10:30-11:30 (6-36 mo)   Wednesdays 9-10:15 (18 mo-5yr)   Wednesdays 10:30-11:30 (18 mo-5yr)   None, I can only make the play group choice above

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Would you like to make the recommended $20 play group donation now? 

We've made it super simple, just click on the donate button below and you will be taken to a secure paypal portal where you can use your credit or debit card to make a donation! We greatly appreciate your support and we look forward to see you at our new location!