Mommy & Me at Mandel Recreation Center

Reservation Information

Name/s and age/s of child/ren reserving *

Street Address

City

State

Postal Code

Please let us know a little bit about your child! (Allergies or medical condition?)

How did you find the Mommy & Me program?

First Name *

Last Name *

Mother's Phone *

Mother's Email *

Father's Name

Father's Phone

Date Attending (for walk-in class)

Reservation Fee(s)

Number of children: Walk-in class

$30.00

Number of children: Winter Session - December 10, 17, January 7, 14, 21

$120.00

Number of children: Spring Session- March 4, 11, 18, 25, April 1

$120.00

Please consider celebrating your child's birthday or any occasion with us!

Sponsorships

Total

My sponsorship is in honor/in memory of