Monthly Registration

Monthly Registration Form
Must fill out a form for each child if you are registering more than one child.
Parent Name
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E-mail
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Phone --
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Childs Name
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School
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Grade
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Select Month or Break you are registering for
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Which type of care
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Please input the days you need for the month you are registering for
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You can write like this: 2/1, 4, 6, 8, or All Days or Week of ?. You can also do Before Care 2/1, 2, 3.... Aftercare 2/1,5, 6, 7.... Full Day 2/8, 9, ...
Message
Important PAYMENT MUST BE IN FULL by the 1st of the month. Please make a copy of your registration form. Your canceled check is your receipt. We will do payment arrangements on a case by case basis. Receive a 10% discount on your total if paid in full by the 21st of the month.
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