Registration Sign Language

Please use this form to register for our Sign Language, and Planetarium programs. Additional children or children registering for separate classes should be registered separately. Please call us at 716-434-3196 if you have any questions. Thank you!

* Indicates required field

Parent/Guardian Name *

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Last

2nd Parent/Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Child 1 Name *

First

Last

Child 2 Name *

First

Last

Child 1 - Age *

Child 2 - Age *

Emergency Contact Name *

First

Last

Emergency Contact Phone *

Sign Language for Beginners

Planetarium - Your Sky Tonight

Classes are $7 each payable at the door. Preregistration is recommended but not required. Students should bring index cards and glue to each class.

Stay tuned for our next session! $7 per adult up to 2 children free, each additional child $3. Payable at the door in cash or check made out to "CLC of ONE."
Not recommended for children under 6 or anyone who fears the dark.

Additional guests/Comments/Allergies/Medical Conditions *

Communications options *

Please add me to your mailing list to receive updates from the Challenger Learning Center I am already on the list. Thank you! Please do not add me to your mailing list

Submit

Please use this form to register for our Sign Language, and Planetarium programs. Additional children or children registering for separate classes should be registered separately. Please call us at 716-434-3196 if you have any questions. Thank you!

Sign Language for Beginners

Planetarium - Your Sky Tonight

Physical Address

Mailing Address

Phone