Polliwogs 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 Polliwogs 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 firstname.lastname@example.org or (218) 740 - 2070 Child's Name* First Last Child's Birth Date*(Must be between the ages of 5 - 6 at the time of the first class) MM DD YYYY Potty Training*Polliwogs 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 PolliwogsOne or a few individual classesWhich dates are you interested in?*Summer session class dates are as follows: June 13, 20, 27; July 11, 18, 25; August 1, 8. *NOTE: No class the week of July 4.