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Session 3 After School Program-Thursday
Session 3, Thursday, January 11th, 18th, February 1st, 8th, 15th
Contact Information
Name
*
First Name
Last Name
Checkboxes
How did you hear about this event?
Poster
WRI email
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school flyer
other
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*
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Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
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Phone
*
Please provide the best number to reach you if we need to
Child's Name
First Name
Last Name
Child's grade
Child's Name
First Name
Last Name
Child's Grade
Registration
*
Quantity
$90
-
Program fee, WRI member
0
1
2
2
$113
-
Program fee, non member
0
1
2
2
Add 3% to my total amount to help cover the payment processing fees
