Wee Play Registration Form 
Wee Play - 20 Blue Jay Court - Somerville, NJ   08876
    
Child's Name: Type:
Parent's Name:
Address:
City, Zip
Phone:
Alt. Phone Number
if necessary
E-Mail:
 
Above Child's Age:

Your Class is confirmed unless notified.

2nd Child's Name:

Age:
Class Day:

Time:

Class Day:

Time:
2nd Choice:

Time:

2nd Choice:

Time:


     




Name of Adult Attending with Child if other than Parent:
 Payment Due Upon Registration 
13 Weeks / $208.00
2nd Class /  $104.00
2nd Child /   $104.00
 
Total Fee Enclosed:
 

If you would like to be notified by 
email when your payment has 
been received,  please include 
your e-mail above.   
 (check for yes)             

Otherwise, your cancelled 
check confirms your class. 

Thank You!