Cliffhanger Class Registration

Child Name *

First

Last

Child Birth Date *

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Parent Name *

First

Last

Contact Phone Number *

Phone Child Birth

Contact Email *

Address *

Address Line 1

Address Line 2

City

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Zip Code

Prior Experience

Class *

• Challenge Rocks Monday (7-9 PM)
• Challenge Rocks Tuesday (7-9 PM)
• Challenge Rocks Wednesday (7-9 PM)
• Challenge Rocks Thursday (7-9 PM)
• Challenge Rocks Friday (5-7 PM)
• Challenge Rocks Saturday (10 AM - 12 PM)

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