Form : Great Lakes Aquarium

Whirligigs Registration Request Form - Summer 2019

Thank you for your interest in preschool programming at Great Lakes Aquarium!
Use this form to submit a registration request for Summer Whirligigs 2019. We will be in contact shortly to let you know if space is available in your preferred class selections -- submitting this form is NOT a guarantee of registration. Questions? Contact Mandi at mwojciehowski@glaquarium.org or (218) 740 - 2070

Child's Name*
First Last
Child's Birth Date*
(Must be between the ages of 3 and 5 at the time of the first class)
MM
DD
YYYY
Potty Training*
Whirligigs must be able to take care of their own bathroom needs.
- My child is potty trained.
Parent/Guardian's Name*
First Last
Phone*
Email*
I would like to register my child for...*
- The full 8-week session of Whirligigs
- One or a few individual classes
First Choice Session*
Second Choice Session
Third Choice Session
Which dates and class times are you interested in?*
Summer session class dates and times are as follows:
Tuesdays (June 11, 18, 25; July 9*, 16, 23, 30; August 6)
at 10:00 - 11:30 am OR 1:00 - 2:30 pm.
Wednesdays (June 12, 19, 26; July 10*, 17, 24, 31; August 7)
at 10:00 - 11:30 am OR 12:30 - 2:00 pm.
*NOTE: No class the week of July 4.