Postnatal Registration Page
Personal Information
Full Name:
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP:
Phone (H):
Phone (W):
Baby Name:
Birth Date:
Class Information
Class:
Location(s):
Day(s):
Time(s):
Total classes registered:
X Cost/Class:
$
Total Due:
$
Prior to the session start date, please mail all checks to:
B.A.B.Y. Health and Fitness Programs
17 Sachem Rd.
Weston, CT 06883
(203) 221-0163
All classes are first come, first served. If room is still available, after the session begins, students will pay instructors on their first day of class.
If a class is missed, a makeup in another location is permitted
only
during the same session in which the student is enrolled. Always make sure to call our office before doing a makeup just to be assured there is a class that day. There are no refunds unless there is a physician approved medical reason for leaving.
I have read and agreed to class conditions mentioned above (Initial Here): __________