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 25 - May 29
June 1 - June 5
June 8 - June 12
June 15 - June 19
June 22 - June 26
June 29 - July 3
July 6 - July 10
July 13 - July 17
July 20 - July 24
July 27 - July 31
All payments must be made to Jillian Englund. (Cash or Check Accepted)
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