Print and mail completed registration form with payment to:

                       Grow in Tune LLC
                       105 Coburn Woods
                       Nashua, NH  03063

Year: ________  Term:  Winter ____ Spring ____ Summer ____ Fall ____


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Student Name: _________________________  Birth Date: ________________


Preferred Day/Time: 
    First choice _________________    Second choice ________________

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Student Name: _________________________  Birth Date: ________________


Preferred Day/Time: 
    First choice _________________    Second choice ________________

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Student Name: _________________________  Birth Date: ________________


Preferred Day/Time: 
    First choice _________________    Second choice ________________

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Parent Information:

    Name: ______________________________  email: ____________________

    Street Address: _________________________________________________

    City: _______________________  State: ________  Zip: ____________

    Home Phone: _________  Work Phone: ___________  Fax: ____________

    Select one: ____ New family (include $20 registration fee)
                ____ Returning family (no registration fee due)