Developmental Wonders
INTEREST FORM
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Parent Last Name, First Name
My Baby
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*My Due Date is
My Child's Date of Birth Is
**The focus will be to group Babies and Toddlers that have a date of birth within 4-6 week age range from each other.**                                                                                                                          A baby group will range from new babies that are between 8-weeks to 6-months of age, and 6-12months of age.  There will also be young movers and early toddlers that will all try to be grouped close together near their date of birth.  Classes will be configured related according to this criteria and parent/caregiver availability.
My BABY's AGE IS
I am interested in signing up for
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FIRST SESSION CLASS SCHEDULE (Estimated Dates)
Total of 8 Weeks.  Introductory Price: $250.00 for 8 Baby sessions, $250.00 for 8 Toddler Sessions, and there is a one time only $25.00 enrollment fee/family)
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SECOND SESSION CLASS SCHEDULE (Estimated Dates)
Total of 6 Weeks.  Pro-rated price due to holidays of $185.00 for both Baby & Toddler sessions.  No class on 11/24, 11/26, 12/22, & 12/24 . There is a one time only $25.00 enrollment fee/family)
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***Please note that we need a minimum of 3-4 babies/toddlers for a class schedule to be initiated***
I plan to sign up more than one child for the Parent/Caregiver Baby/Tot Developmental Wonders Group, please check all that apply:
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List Names and Ages of Other Children in Family
* Especially if you have toddlers under 3 that you would be interested in having a parent/tot group (Prior infant group parents do not pay the enrollment fee for toddler group)
Preferred Payment Method. Please note payment to Sensory Steps for Developmental Wonders Baby Group is due in full prior to the start of class.
Would you prefer to pay via cash or credit card (5% fee added on to class fee when credit card & PayPal are used as payment, due to fees charged)? All payments for class are due up front and no refunds for missed classes.  All materials from each class will always be emailed to your preferred email address.  If a class is cancelled due to the instructor, it will be rescheduled.
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Primary Email Address
Secondary Email Address
Cell Phone Number
In urgent situations may I text you at this number?
Home Phone Number
Home Address
Please check answer that best applies to your current situation (next 6 months)
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Status
How did you hear about Developmental Wonders Baby Group through Sensory Steps at Fox Point Church?
What else would you like us to know about you, your family, and your baby?
What are you hoping to benefit from attending Developmental Wonders Baby Group?
Would you like to be added to Developmental Wonders by Sensory Steps Baby Group mailing list via email or mail for class information or upcoming events?  Your information will not be shared with any outside agencies and kept completely confidential.
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