2025-2026 P&T Little Learners Club Registration
Play And Talk With Us, LLC offers a variety of program options for children. 

THIS REGISTRATION FORM IS FOR OUR CLASSES THAT RUNS DURING THE SCHOOL DAY (9:30-2:30). 

If you are looking for afternoon classes, Play Clubs, or camps, please see our website: https://www.playandtalkwithus.com. 

See here for detailed INFORMATION and PRICING about our day time program options: Class Information 2025-2026. 

Our team will use this form as part of the registration process for class. After completing registration, expect to receive a confirmation email within 2-3 days to confirm your child's placement; or an email requesting additional information needed to confirm enrollment.

Do not provide payment until a formal enrollment email is sent confirming placement into a class. 

Classes will take place at 140 Mountain Ave, Westfield.

Thank you,
Kristina Quigley, Ed.M., BCBA
Owner, Lead Teacher
Play And Talk With Us, LLC
playandtalkwithus@gmail.com

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Email *
Child's Name (first and last): *
Child's Preferred Nickname, if applicable
Parent/Guardian's Name(s): *
Phone Number: *
Street Address, Town, State, Zip Code *
Child's birthday (month, date, year):
 *
What grade is your child this school year, 2025-2026? *
Play And Talk With Us client status:

Returning family: Your child has attended a class, Play Club, or camp with us in the past.

New family: Your child hasn't taken classes with us. New families must complete our intake forms to confirm enrollment. Intake forms will be emailed to you after we process this registration form. Your spot will be reserved while we complete this process. We will email you with needed information within 2-3 days hours. 
 *
IF YOU ARE A RETURNING FAMILY: Respond below. Please share any new home or school information that may be relevant to your child participating in social skills groups this fall. 

NEW FAMILIES: Do not respond. We will follow up with intake paperwork to gather this information. 
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