REGISTRATION FORM

 

Child's Name__________________________________________________

 

Birthdate _____________________________________________________

 

Mother's Name ________________________________________________

 

Father's Name _________________________________________________

 

Mailing Address _______________________________________________

 

E-mail Address ________________________________________________

 

Phone:

Home _____________________________Cell____________________________

 

Work______________________________Cell____________________________

 

Are you a Calvary Member? _____________________________

 

 

CLASS:
[ ] YOUNGER TWO (Child should be 18 months by September 1)

[ ] OLDER TWO (Child should be 24 months by September 1)

[ ] THREE (Child should be 36 months by September 1)

[ ] FOUR (Child should be 48 months by September 1)

 

A $35.00 registration fee must accompany this form. Scholarships available.

 

MAIL TO:

 

Beginnings, 315 Shady Avenue, Pittsburgh PA 15206.

 

Phone (412) 661-3025