Register

Registering your daughter for Bloom! is easy! Your annual registration payment of $150.00 includes:

  • Bloom! t-shirt
  • Bloom! journal for all 32 weeks
  • Bloom! bag
  • Crafts and supplies for the year
  • Administrative costs

Child Information

Parent Information

Emergency Contact

Additional Info

Yes     No

Yes     No
Yes     No
   Yes    
Participation in physical activity including movement games can result in injury. I understand by signing this form that I waive any right to hold anyone affiliated with Bloom! responsible for any injuries or damage of property that might occur during participation in this class. This waiver also applies to any outside activities that may be scheduled for the group throughout the year
Child L (10-12)
Adult Small
Adult Medium
Adult Large
Adult XL

Payment Information

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