Mac N Motion Pop Up (2-5 year old only)

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$100.00 Per Hour

Email *

Contact Person's First & Last Name *

Phone Number

Name Of Company/Organization *

Choose From The Dates Below *

Weekly Monday

Bi-weekly Monday

2 Pop up dates

TGY In July

If You Chose 2 Pop Up Days Please List Days below

Number Of Kids Participating *

Age Group *

2-5 years old

Each age group will be separate classes! Each class is for 30 minutes! *

Acknowledge

Please provide children with access to water *

Acknowledge

Grant Permission For Pictures To Be Taken To Post For Website/Flyers *

Yes

No Thank you

Payment Method You Are Using *

Check (Mac N Motion LLC)

Card

In consideration of the risk that exists while participating in Mac N Motion LLC, My child is voluntarily participating in the aforementioned activity at the legal parents/guardians own risk. You acknowledge that you are aware of the risk associated with participating in this activity. Which may include, but not limited to: physical injury and pain. You hereby release Mac N Motion LLC, employees and associated personnel including the owner of the program against any and all claims, liabilities and/or damages as a result of your child’s participation in Mac N Motion LLC

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A copy of your responses will be emailed to the address you provided.

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