Sign Up Form - Motor Skills

September 14 - november 2 (8 weeks)

WHEN

Ages 5-10 - Fridays 4:00-4:45pm

Ages 11+ - Fridays 4:50-5:30pm

WHERE: Lexington Community Center, 39 Marrett Rd

If you are not currently participating with Verge and we do not have a 2018 waiver from you, please bring the completed Verge waiver form with you to your first session. Thank you!  WAIVER  (You will also need to complete a waiver for the Community Center when you arrive.)

Participant's Name *
Participant's Name
Your Name *
Your Name