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Session 3 After School Program- Tuesday
Session 3, Tuesdays, January 9th, 16th, 30th, February 6th, 13th
Contact Information
Name
*
First Name
Last Name
Checkboxes
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Poster
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school flyer
other
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Address
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Address Line 1
Address Line 2
City
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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
-
WRI member
0
1
2
2
$50
-
WRI Family Membership
0
1
2
2
$113
-
non-member
0
1
2
2
Add 3% to my total amount to help cover the payment processing fees
