PAYQUIQ ONLINE :: The Faster Smarter Way to Pay

The Park Pod-Session 2

For children ages 1-3 plus a caregiver
April 28 - May 19
9:15-10:15 am
(4 weekly sessions on Thursday mornings)
Park Synagogue East

Help your little one build language, social skills, and fine motor development in this engaging one-hour class. Children will take part in story time, art exploration, sensory activities, and free play while being introduced to a weekly theme.

Open to Park members and guests. Space is limited.

Sponsored by the Park Family Connection, a group for Park families and friends with children under the age of 10.

* Child's Name

* Child's Birth Date

Gender

Female
Male

* Parent's Name(s)

* Parent Mailing Address

Please include street, city & zip code

* Cell Phone #

* Email Address

Other Adult(s) attending

If there may be other adults attending with your child, please share their name and relationship to the child (grandparent, caregiver, etc.)

* Cost:

	Park Member	$90.00
	Non-Member	$100.00

For Non-Members:

Sign me up to learn more about Park!

* Any allergies?

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total: