ZumbaKids! (Spring 2014)
To register, please complete this form in its entirety.
ZumbaKids! - NPES
-Instructor: Christine Ricci
-Open to grades 1-6 (NPES/Bryantville)
-Enrollment: Max of 25 students
-Mondays: 4/14, 4/28, 5/5, 5/12, 5/19, 6/2, 6/9 (3:00pm to 4:00pm)
-Place: North Pembroke LGI
Full payment is due by the first class meeting. Payments may be made in cash or by check made out to the "Pembroke Public Schools". Please be certain to include your phone number on the check. Please mail all payments to:
Pembroke Enrichment Program 72 Pilgrim Road Pembroke, MA 02359
Should you have any questions, please contact: Brian Fitzgibbons Director of Community Relations / Assistant Athletic Director firstname.lastname@example.org
Parent / Legal Guardian Completing this Form (Name)
Parent / Guardian Phone
Please, re-enter the parent/guardian email:
Emergency Contact Name
Emergency Contact Phone
By entering my digital signature below, I am granting my child permission to participate in the Pembroke Enrichment Program detailed above. My digital signature also indicates my permission for my child to remain after school on the days the class meets.
Enter the number below to submit your information.
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