messy mice pre-school art classes

Fill out this form to register and an invoice will be sent to you by email.

Your Name:
Email Address:
Telephone:
Address:
Child's name:
Child's date of birth:
Child's name:
Child's date of birth:
Choose a class:	Messy Mice Baby Mice Both
Choose a location:	Southam Leamington Spa
Payment Due [Includes £10 annual fee]:	1 child (10 weeks: 15 Sep - 28 Nov) £75 2 children (10 weeks) £120
Choose your payment method (instructions will be emailed to you):	I will send a cheque/postal order I will use paypal
How did you hear about Messy Mice?
If you do not get confirmation of your registration within 48 hours, please email us. If you have any other comments please note them here:

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