Bagel Babies

 Registration

Child's First Name:

 Last : Hebrew Name:  

D.O.B.              Male  Female

Mother's First Name:  Father's First Name:

 Last Name:

Address:     

 Postal Code:

Phone:  e-mail:

 Cell:

Does your child have any allergies? Yes No

If yes, what are they?

Is there another day of the week that would be more convenient for you? 

 I heard about Bagel Babies from:

 

Please bring your own exercise mat.

Price : $15/class or $99 for 8 class session

I'd like to register for 

 Single Class/s. $15/class

 

 Entire Session $99/8 classes

Promo Code: 

  

 You may also send an e-transfer to : Csblachman@gmail.com


Name on card:
Card No.

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