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Tiny Fingers  teach your baby sign language!
Class Registration Form 
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 will be sent via email if email is provided.

Parent / Guardian:

Relationship to child:


Email Address:

Phone: Home:                                   Work:                                      Mobile:

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

Type of Course:
Baby & Me series 
Refresher Course 

 __  $90/ 1 adult & child

 __  $40/ 1 adult & child
 __  $40/ 1 adult & child

      __$140/ 2 adults & child
      __$75/ 2 adults & child 
      __$75/ 2 adults & child

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

TOTAL DUE:  ____________________

How did you hear about
tiny fingers? 

Terms:  No refunds can be granted after the first class.  tiny fingers reserves the right to cancel any class which does not meet the minimum enrollment. Out of concern for all children present, PLEASE do not bring a sick child to class.  All missed classes may be made up.  In the event of a closing by the local public school district due to a weather emergency, Tiny Fingers will not hold classes.