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Monday Fundays
Mondays from 9:30-12:30 for students K-6
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Student 1 Name
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Student 1 DOB
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MM
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DD
/
YYYY
Student 2 Name
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Student 2 DOB
MM
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DD
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YYYY
Parent Name
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Email Address
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Cellphone Number
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Which session(s) are you signing up for?
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Session 5: 1/4, 1/11, 1/18, 1/25
Session 6: 2/1, 2/8, 2/15, 2/22
Session 7: 3/1, 3/8, 3/22, 3/29
Session 8: 4/5, 4/12, 4/19, 4/26
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Payment
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I agree to send $75 per student per session to
paypal.me/checpalmbeach
immediately which holds my spot.
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