Wiggles 'n Giggles Registration Form

Fall 2007

There is a $25.00 registration fee per family for each 6-week session to cover the cost of supplies. Register early. Space is limited.

 

Tuesdays

Grant School, 105 S. 400 E. Springville

□ Wiggles 'n Giggles Fall session I (Sept. 18 - Oct. 23)

□ Wiggles 'n Giggles Fall Session II (Oct. 30 - Dec. 11)

 

Wednesdays

Westmore Elementary Cafeteria, 1150 S. Main, Orem

□ Wiggles 'n Giggles Fall Session I (Sept. 19 - Oct. 24)

□  Wiggles 'n Giggles Fall Session II (Oct. 31 - Dec. 12)

Parent Name _____________________________________________________

Phone #_____________________

Address_________________________________________________________________________

# of children ages 0-5 attending ______________

Enclosed is a check or money order for the amount of $__________________.

Make checks payable to:

The Family Center of Utah Valley.

961 West 600 North,

Pleasant Grove, UT  84062