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PRINT THIS FORM - Reminder: Provide parents w/cash payment a receipt.
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Enrichment Club In-Person Registration Form
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Date(s) you are registering for? Building:
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$11 Student 1$39 Student 6
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Last NameLast Name
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First NameFirst Name
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Student IDStudent ID
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$19 Student 2$44 Student 7
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Last NameLast Name
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First NameFirst Name
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Student IDStudent ID
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$24 Student 3$49 Student 8
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Last NameLast Name
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First NameFirst Name
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Student IDStudent ID
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$29 Student 4$54 Student 9
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Last NameLast Name
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First NameFirst Name
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Student IDStudent ID
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$34 Student 5$59
Student 10
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Last NameLast Name
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First NameFirst Name
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Student IDStudent ID
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Payment Total
Received by:
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*No refunds. Cash payments must be exact.
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