Little Movers and Shakers Register

Registration Form: Summer 2013
Please fill out the entire form, then press the "Submit" button, which will take you to the confirmation and payment page

The Summer Session consists of 8 weekly classes from Monday June 24, 2013 through Tuesday August 27, 2013. There are a few vacation days, so please check the schedule carefully.

Early Bird Special: Runs through June 15
Tuition is $120 for 1 child + $72 for each sibling over 9 months at the start of the session

Regular Tuition: $132 for 1 child + $80 per sibling.

NO classes held on:
Friday July 5
Saturday July 6
Monday July 8
Tuesday July 9
Monday August 12 and
Tuesday August 13

Registration Form: Summer 2013
Please fill out the entire form, then press the "Submit" button, which will take you to the confirmation and payment page

* Indicates required field

Which class day and time is your first choice? *

What is your second choice? *

Email *

Name *

First

Last

Phone Number *

Child's Name *

First

Last

Child's Birthday (month/day/year) *

Siblings name (if registering a sibling) *

First

Last

Siblings birthday (month/day/year) *

Please Note: Paying tuition secures your spot in class. Your spot will be released if tuition is not paid by June 15.

Payment Options: *

Pay Online now Pay with a credit card in person Pay with check or cash Bill me with a PayPal invoice (I will send the invoice via e-mail)- for pro-rated or unique tuition agreements

Agreement to pay *

I have opted to pay Online Now, and agree to pay on the following page. I have opted to pay with a credit card, cash or check, and agree to pay the tuition I have opted to be billed with a PayPal invoice, and I agree to pay the tuition

Any other info you want me to have! *

The confirmation and payment page should appear after pressing the Submit Button
If you are not brought to the Confirmation/Payment Page, your registration did not go through.
Please check to see that all required fields are filled out.

Other Information:
Checks: Mail checks to: Little Movers and Shakers, 14228 Emelita St Sherman Oaks, CA 91401
Payment Plan: Contact Cathy if you would like to work out arrangements to pay the tuition in 2 or 3 installments.
Choosing the Pay with credit card in person, or with check or cash payment options, you are committing to pay for the class. When you register for the class a space is held for you, which may prevent another family from joining the class. In order to secure your spot in class, please pay by June 15.

Classes are not guaranteed to run as there is a minimum of 6 children per class- so tell your friends!

All classes are located at:
14115 Magnolia Blvd, Sherman Oaks, CA 91423 (just West of Hazeltine)
Location information click here

Click here to review the policies and guidelines

I have read and agree to the Policies and Guidelines *

Yes

Submit