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Class Registration

You are registering for:
Parents Day Out
Location: Brooks Clubhouse
Instructor:
Date:  Sat December 15, 2012 1:00 PM - 4:00 PM
Fee: None

Please give us your contact information:
* First Name:
* Last Name:
* Address:
Address 2:
* City:
* State:
* ZIP Code:
* Phone:
Company:
Email:
Registration Note: