Hooray! We’re excited to have you join Move Your Body! Let’s get you registered! Caregiver or Parent Name * First Name Last Name Name/s and age/s of child/children: * This program is designed for children aged 1 to 5 years old only. Email * Phone * (###) ### #### Is there anything else you'd like to share with us? Any special notes, allergies to particular ingredients, etc. By checking the box you agree that if you cannot attend one of the weeks, it is your responsibility to call and inform us of your absence. * Yes No Thank you! Please let us know ahead of time if you are going to miss a session.