128 East 36th Street
Between Park and Lexington Avenues
212-779-3434

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Spring Enrollment Form

January 5th to April 3rd

 Right click here to download form

Text Box: Please Complete The Form Below
Parent’s Name
 
 
Child’s Name & Birthday
 
Nanny or Babysitter’s Name
 
 
Address
 
(Number)        (Street)                      (City)                  (State)             (Zip)  
 Phone Number
 
 E-mail Address
 
Emergency Contact
 
How did you hear about Wee Ones?
 
 
 
CLASS         
DAY(S)
TIME(S) 
$40 registration 
TOTAL
 
 
 
 
 
 
Method of Payment- Check, Visa or MasterCard
Card Number:   ________________________________ 
Expiration Date:  ________  / ________
 
SIGNATURE_________________________________________________
 
 
 
* All classes are non-refundable and non-transferable
 
* All classes are subject to change
 
* We reserve the right to revoke membership for any reason
 
 
 
 
 
 
 128 East 36th Street, NYC 10016   (212) 779-3434     www.weeonesclub.com 

 
Office Use Only
 
 
Registered By:
Date:
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For questions or concerns regarding the layout or content of this web page, please feel free to contact: webmaster@weeonesclub.com