1600 Ken Thompson Pkwy.

Sarasota, FL 34236

Phone: 941.388.4441 ext. 264

Fax: 941-388-4381

MOMMY and ME at MOTE – Fall 2016

Important Information:Our class is limited to 15 children (ages 2-5). Pre-registration is required. Meet us at the Aquarium entrance at 9:50 a.m. for our morning class to begin promptly at 10:00 a.m. on Tuesday, select (in-demand) Wednesday, and Thursday mornings. For Exploring the Bay classes, closed-toed, closed-heel water shoes are required for both kids and participating adults. Come ready to get wet! Our Mommy and Me Masters program is offered on Thursday afternoons. We will meet at the front entrance at 1:20 p.m. for class to begin at 1:30 p.m.Please mail, fax, or e-mail your completed registration form, along with payment. You may register over the phone by calling Miranda Wrobel at 941.388.4441 ext. 264 or email to . We will confirm your registration by e-mail.Online registration available at .

Participating Children: Name(s) Age:

Age:

Age:

Participating Parent/ Guardian: Name(s) Relationship to child:

E-mail (required):

Phone Number: Best ( )Alternate ( )

Billing Address: City: State: Zip:

Mote Membership #: Expiration Date:

PRE-PAYMENT REQUIRED / Mote Members / Non-members
1 Class / $14/”Mommy and Me” pair ($5/extra child) / $18/Mommy and Me pair ($6/extra child)
4 Classes / 10 % discount applied to registered classes
13 Classes / 15 % discount applied (Prices based off online registration at
DATE
Tuesdays
Exploring the Bay
(circle one) / Session Theme
New class every week! / DATE
Thursdays
(circle one) / Mommy and Me Masters
Thursdays
(p.m.) / # of Additional Children / COST
(see above)
Sept. 6 / A-B-Seas, 1-2-3s / Sept. 1 / Sept. 1
Sept. 13 / Sept. 8 / Sept. 8
Sept. 20 / Sept. 15 / Sept. 15
October 18 / Sept. 22 / No class
October 25 / No class / No class
November 1 / Can You Relate? / No class / No class
November 8 / Oct. 13 Exploring the Bay / Oct. 13 Exploring the Bay
November 15 / Oct. 20 / Oct. 20
Oct. 27 / Oct. 27
Nov. 3 / Nov. 3
Trees to Seas / Nov. 10 / Nov. 10
Nov. 17 / Nov. 17
Dec. 1 / Dec. 1
The Year’s Best / Dec. 8 / Dec. 8
Dec. 15 / Dec. 15

Cash Amount: ______

Check Please make checks payable to Mote Marine Laboratory. Amount: ______Check #: ______

Credit Card Please circle your credit card of choice. VISA MASTER CARD AMERICAN EXPRESS DISCOVER

Card #: ______Expiration Date: ____/____ (mm/yy) Amount: ______

Name as it appears on card: ______Signature:______

MAIL:Mote Marine Laboratory, Attn: Miranda Wrobel, 1600 Ken Thompson Parkway, Sarasota, FL34236

FAX (Credit Card payment only): (941) 388-4381

Cancellation Policy: There are no refunds for Mote Education programs unless Mote cancels the program. If you provide notice of cancellation more than 24 hours before the program begins, we will credit your payment to a future Mommy & Me program. If you cancel within 24 hours of the program or fail to show up without giving notice, you will be charged in full for the program.