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Jump Start Langley Schedule Winter Spring 2012

Register Now for Winter / Spring 2012

Classes Start Feb 11
Address: CEFA BUILDING
100-19950 88th Avenue East (at 200th)
Langley, BC .
From 200th, go W. on 88th Ave as though you were going onto hwy, but stay in left lane and turn in.
REGISTER TODAY!
Ultimate Baby Class
Attend the Ultimate Baby Class, Jollyjumpers, where activities include bouncing, rocking, peek-a-boo games, instrument exploration, group drumming. A new baby sign and infant massage will be a part of the class each week
0-18months
Puddlejumpers
A program to keep them hopping: Singing, dancing, music games, instrument play, creative movement, and early music concepts.
16mo- 3.5 yrs
Ultimate Baby Class - Newborn to 18 months: Parents Participate. 45 min classes.
Price includes diaper bag and baby instrument kit.
Feb 11
Jollyjumpers (0-18 months) 45 min
 Sat 10:45-11:30 16 weeks $195
Toddler Classes 16 months to 3 yrs: Parents Participate 45 min classes.
Price includes bag and toddler instrument kit.
Feb 11
Puddlejumpers (16mo-3yrs) 45 min

Sat 9:30 16 weeks $195

To Register

Select Age Group and class time for a maximum of 2 children:
(Please put additional children on a separate form.)

Studio: Returning New

Jollyjumpers (newborn to 18 months) Saturdays 10:45.$195 /16 weeks. Fees $195 / 16 weeks. Payment plan: Deposit $55 plus post dated chqs for $35 dated the 15th of Sept, Oct, Nov, Dec. THERE ARE NO CDS FOR THIS PROGRAM

Puddlejumpers (16 mo to 3 1 /2 yrs) Saturdays 9:30. Fees $195 / 16 weeks. Payment plan: Deposit $55 plus post dated chqs for $35 dated the 15th of Sept, Oct, Nov, Dec. THERE ARE NO CDS FOR THIS PROGRAM

Personal Information:

New families, how did you hear about us?

Print Ad Event Internet CEFA

Friend - Frient / Event Name:

Parents' Names: (first & last please)
Adult attending if not parent:
Email:
Phone:

Child's Name 1 (first and last)
Birthdate:
Child's Name 2 (first and last)
Birthdate:
Address: City:
Postal Code:

Payment information: **Please note that we do not have an office in Langley, only classrooms. Our teachers are unable to provide receipts or change cash at our Langley location.

  • List any other coupons / discounts here:
  • Arranging a Group? / Referring your friends? List your 5 friends here so we can watch for their registrations: (If they register within 1 week of you, you come for free!

Class Fee :

Total Cost: :

Additional instructions / comments:

I will be paying by:

In full by cheque Please note that all cheques must be recieved in order to complete your registration. Send all cheques to our mailing address at #74-1240 Falcon Drive, Coquitlam, BC V3E 2B4

Payment Plan Please note that all cheques both deposit and post dated) must be recieved in order to complete your registration. Send all cheques to our mailing address at #74-1240 Falcon Drive, Coquitlam, BC V3E 2B4

In full by credit card - You will be automatically directed to the secure credit card page after submitting this form.

Policies:

Please click the link to the left to view our policy page.

I the undersigned have read and understood the attached policies and agree to the terms within. I wish to register my child for the class indicated. I understand that photographs taken in class may be used without financial compensation, unless ohterwise indicated by me in writing. Checking this box indicates my agreement that I will not hold Jump Start Music & Movement responsible for any loss, damages or injury incurred directly or indirectly from participation in the Jump Start Program. If paying by credit card, checking this box also constitutes authorization to charge said card.