Grw With Me^™

To sign up for a Grow With Me^™ class, please provide the following information:

Parent's First Name
Parent's Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail
Baby's Name
Baby's Date of Birth

Choose one of the following options:

Group I (0-5 mos.)  Boca Raton Community Hospital - Aug 23, 30, Sept 13, 20, 27, & Oct 4  (Tuition:  $105.00)
Group II (6-12 mos.)  Boca Raton Community Hospital - Aug 23, 30, Sept 13, 20, 27, & Oct 4   (Tuition:  $105.00)

Group I (0-5 mos.)  Boca Raton Community Hospital - Oct 11, 18, 25, Nov 8, 15 & 22  (Tuition:  $105.00)
Group II (6-12 mos.)  Boca Raton Community Hospital - Oct 11, 18, 25, Nov 8, 15 & 22   (Tuition:  $105.00)

Group I (0-5 mos.)  Boca Raton JCC - TBD  (Tuition:  $105.00)

** Sign up options for later classes will be available after May **

How did you hear about us?

*After submitting your form, you will be contacted by us for confirmation.  

NON-DISCLOSURE AND COPYRIGHT INFORMATION -- Important - Please Read
Information and materials presented during classes are confidential and proprietary.  By clicking the "Submit Form" button, individuals are agreeing to a Non-Disclosure/Non-Compete Agreement which covers all materials and information presented during classes.  All course materials are protected by copyright and may not be reproduced in whole or part in any form without the written consent of Tammi B. Stein or GWM, LLC.   Click here to review a copy of the Non-Disclosure/Non-Compete Agreement.

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