Student Registration for FREE TRIAL Class at Lighthouse Student Information Student Name Student DOB Gender Female Male Medical Conditions, Allergies, etc. Parent Name Phone Email Address I am registering my student for the following class on Friday, February 13, 2023: 10a - 10:45a Toddlers and Twos Parent & Me Class 11:00a - 11:45a Three Years to Six Years Old Class I understand that I am registering for a FREE TRIAL class and that enrollment information will be provided if I wish my child to continue participating. I agree that Stretch-n-Grow and its affiliates will be held harmless in case of accidents or injuries. Photo Release We occasionally take pictures during class for use in marketing materials. Neither the child’s name or center’s name will be used; however if you do not wish you child’s picture to be used, please check this box. Register
