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 31 - June 4
June 7 - June 11
June 14 - June 18
June 21 - June 25
June 28 - July 2
July 5 - July 9
July 12 - July 16
July 19 - July 23
July 26 - July 30
All payments must be made to Jillian Englund. (Cash or Check Accepted)
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