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Tiny Fingers  teach your baby sign language!
Class Registration Form  You may also register online at www.tinyfingers.com/registration.html
Please complete this form & mail it with complete payment to Eileen Ladino, 5311 Gainsborough Drive, Fairfax, VA  22032.  Personal checks, money orders and cashiers checks accepted. Confirmation and directions to class will be sent via email if email is provided.

Parent / Guardian:

Relationship to child:

Address: 

Email Address:

Phone: Home:                                   Work:                                      Mobile:

Child’s name:                                                                             Date of Birth:     
Class Location:
Session start date:                             Day of week:                             Time:  

Additional siblings may attend class for half price.  Please list names & birth dates.  No extra charge for twins.

Materials   (indicated number ordered)
___ Cue Card Book $25 each book     
My Baby Can Sign! bumper sticker  ____ FREE for students
TOTAL DUE:  ____________________
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