Wooster Play Group Registration Child Name * First Name Last Name Date of Birth * MM DD YYYY Parent Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### I am choosing: * Single session ($12) Punch card ($100 for 10 sessions) Previously purchased punch card entry Cost of Camp * If you have a previously purchased punch card, please write the number of entries you will be using. For example, if you have 3 children who will be attending this week's session, please write "3 entries." $ Credit Card Information * Credit Card Number (If you purchased a punch card, please put all 0s for the fields.) Expiration Date * Expiration Date (If you purchased a punch card, please put all 0s for the fields.) CVV# * CVV #(If you purchased a punch card, please put all 0s for the fields.) Checkbox * I understand that a parent needs to be present during this play session. EJ's play groups are designed as a healthy, fun place for your child to hang out, while also focusing on parent education. I have read and understand the above statement Notes If you have any questions or comments, please list them here Thank you for submitting your play group registration! This is your confirmation that we have received your registration. If you have any questions please call our Wooster location at (330)-262-4449.
