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Fill out this short form to sign up for our playgroup!
You may sign up for this playgroup any time throughout the year.  If you sign up outside of the summer season, your contact information will stored for use during the next summer months. Thank you!!

Parent's Names:
Child's Names, Ages, and Birthdates:
Mailing Address:
Phone:
Email:
Comments:
Photo Authorization:I authorize the use of photos taken during our playdates to be used on this website.
I DO NOT authorize the use of photos taken during our playdates to be used on this website.
  

Thanks for visiting our site!  Be sure to send me an email if you have any questions!


Coordinator, Julie Branstetter
* 603 West Nash Street* Elm City * NC * 27822 * (704) 469-0196 *