Tiny Fingers Tiny Toes Registration Form
Thank-you for choosing our practice.
All information will be STRICTLY CONFIDENTIAL.
Click the "Submit" button at the bottom when completed.
* = Required Field.
Partner's Name (optional):
Hospital to Deliver:
Requested Class Location and Date:
Saturday January 19, 2019
Saturday February 2, 2019
Saturday March 2, 2019
Saturday April 6, 2019
Saturday May 4, 2019
Saturday June 1, 2019
Saturday September 7, 2019
Saturday October 5, 2019
Saturday November 2, 2019
Saturday December 7, 2019
How did you hear about Tiny Fingers Tiny Toes?
Do you have a specific topic you would like covered in the class?