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Bugle Babies
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First Name
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Last Name
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Phone number
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Email
Please Select One
I would like to sign up for the full semester with Hannah Stern
I would like to drop in for one class with Hannah Stern
I would like to sign up for the full semester with Rebbetzin Gibber
Select the Number of Children that will be attending the full Winter Session.
Please Select One
1
2
Select the Number of Children that will be Dropping in at 9:30am for a Bugle Babies Class
Please Select One
1
2
Name of Child Attending
Age of Child Attending
Birth Date of Child Attending
Name of Child Attending For Drop In
Age of Child Attending For Drop In
Birth Date of Child Attending For Drop In
Name of Second Child
Age of Second Child
Birth Date of Second Child
Amount Due:
Fri, June 6 2025 10 Sivan 5785
