Name *

First Name

Last Name

Phone *

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Date of Birth

MM

DD

YYYY

Availability *

Morning shifts 8:45am-12:30pm (toddler/preschool classes only)

Afternoon shifts 12:30-4pm (toddler/preschool classes only)

Monday evening 4pm and later

Tuesday evening 4pm and later

Wednesday evening 4pm and later

Thursday evening 4pm and later