Lets Play in Italian | Italian preschool enrichment classes for children, Mommy and Me in Italian classes, childrens Italian cooking classes, parent and child Italian classes, Italian conversation classes for adults, Travel Italian classes for adults

Please fill out the information below to register your child in Lets Play in Italian... Giochiamo in italiano, or Mangia, Mangia. Grazie!
*The field marked with () are required fields.**
	Today's Date
*	1st Child's Full Name
*	Age
*	Date of Birth
*	Play Group Name
*	Class Start Date
	Location
	Class time
	2nd Choice Play Group Name
	2nd Choice Class Start Date
	2nd Child's Full Name
	Age
	Date of Birth
	Play Group Name
	Class Start Date
	Location
	Class time
	2nd Choice Play Group Name
	2nd Choice Class Start Date
	Mother's Full Name
	Father's Full Name
*	Name of Person Attending Class with Child
*	Relationship to Child
*	Address, Apt, City, State, Zip
*	Home Phone
	Work Phone
*	Cell Phone
*	Email Address
*	Emergency Contact Phone Number
	How did you hear about us?

*Electronic Registration holds spot for 5 days until payment is recieved

Please mail & make checks payable to:
Let's Play in Italian, LLC
551 Park Ave, Suite 6
Scotch Plains, NJ 07076
C/O Lets Play In Italian

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