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AFTER SCHOOL REGISTRATION FORM
Season 2023-2024
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Student's First and Last Names
*
Your answer
Age
*
5-7
8-10
11-12
Other:
Required
Name of School
*
Your answer
Picking-up time
Time
:
AM
PM
Are you interested in receiving a promotional discount offer?
Monday
Tuesday
Wednesday
Thursday
Friday
Which program do you prefer?
DAY BY DAY 'PROGGRESS' $20/day (your drop-off), $25/day (we picking-up and transportate)
WEEKLY 'CONFIDENCE' $80/week (your drop-off), $100 (we pick up and transportate)
MONTHLY 'CHAMPION' $300/month (your drop-off), $350 (we pick up and transportate)
OTHER (please ask options you need)
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Contact Information
*
E-mail
Your answer
Contact Information (optional)
Your Phone Number and Name
Your answer
Comments and Questions
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