Parent's Name
*
First Name
Last Name
E-mail
*
ex: myname@example.com
Phone Number
*
-
Area Code
Phone Number
First Child's Name
*
First Name
Last Name
First Child's Age
First Child's Favorite Category
Dance
Theater
Music
Second Child's Name
First Name
Last Name
Second Child's Age
Second Child's Favorite Category
Option 1
Option 2
Option 3
Week(s) my child/children will be attending
*
May 29 - June 2
June 5 - June 9
June 12 - June 16
June 19 - June 23
June 26 - June 30
July 3 - July 7
July 10 - July 14
July 17 - July 21
July 24 - July 28
All payments must be made to Jillian Englund. (Cash or Check Accepted)
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