Registration

Please register below and submit your registration payment to one of the following. Your registration allows us to pre-order family materials and plan accordingly for class sizes.

Payment Options:
* PayPal
* Venmo @bkheinen90

*Check to:
Brenda Heinen
3238 Evergreen Rd. N
Fargo, ND 58102

We will contact you after we receive your registration to confirm the availability.

Select Class:

Preferred Day/Time:	(e.g. Tuesdays 09:30)
Preferred Location:

Parent's First Name:
Parent's Last Name:
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Email Address:
Home Phone Number:	- -
Work Phone Number:	- -
Cell Phone Number:	- -

Alt. Contact Person:
Alt. Contact Phone:	- -

Child's First Name:
Child's Last Name:
Child's Current Age:	months years
Child's Birthdate:	(MM/DD/YYYY)

List any allergies or medical issues of which the teacher should be aware:


How did you hear about us?:

Other:

Question/Comment: