Enroll: In Person Parent-Infant Guidance

Presented to families with children from birth to age two by Elizabeth Memel, M.A., RIE® Associate Since 1985

Enrollment Form

Please fill out the following form in order to participate in the Parent-Infant Guidance class. Valid up to 24 hours prior to the activity.

Name(s) of Parent(s)

Name of Child

Date of Birth

Date of Birth 2

Address

City, State, Zip

Phone

Parent(s) Occupation(s)

Payment is for an eight-week series. The series fee is $395. Please make Venmo or ZELLE $395 (for all 8 classes) or $55 (for single class) payment to Elizabeth Memel. Fees are due next by the 7th class of your ongoing series.

PARENT RESPONSIBILITY AGREEMENT:

I , understand that during my participation in the online RIE Parent - Infant Guidance Classes, I will mainly be present online without my child intentionally on screen. I agree to not hold “Third Street BodyArts” (DBA of Elizabeth Memel) responsible for any ensuing happening.

I confirm that I have read, understand, and agree to the above.

Thanks for submitting!

AUTHENTIC BABIES

Enroll: In Person Parent-Infant Guidance

Enrollment Form

Please fill out the following form in order to participate in the Parent-Infant Guidance class. Valid up to 24 hours prior to the activity.

Payment is for an eight-week series. The series fee is $395. Please make Venmo or ZELLE $395 (for all 8 classes) or $55 (for single class) payment to Elizabeth Memel. Fees are due next by the 7th class of your ongoing series.