Women's Winter Studies

Women's Winter Studies 2010

Please fill out the form below then
click on the Green Submit button at the bottom of the page to register.

Winter/Spring Study
Name
Address
City
State & Zip
Email
Home Phone

Babysitting Needs

The cost of child care is $3/week for the first child and $1/week for each additional child,
which will be collected in class each week.

1st Child
Age
Allergies
Potty trained?
Special needs/fears
Favorite color
Nap/bottle time

2nd Child
Age
Allergies
Potty trained?
Special needs/fears
Favorite color
Nap/bottle time

3rd Child
Age
Allergies
Potty trained?
Special needs/fears
Favorite color
Nap/bottle time

Questions or Comments?

The reset will clear the entire Form

to allow you to start over

About CEFC :Contact Us