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1
Child's Name
*
This field is required.
When completing for multiple children please add both names below as well.
First Name
Last Name
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2
Parent's Name
*
This field is required.
First Name
Last Name
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3
Please Indicate the Location Your Child Attends
*
This field is required.
Ardmore Elementary School
Park Lane Elementary School
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4
My Products
For additional payments you may choose to update the quantity.
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My Bag
1
My Bag
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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ORDER SUMMARY
Total cost
USD
1 Child Weekly Payment
1 week, one child
$
160.00
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Quantity
2 Children Weekly Payment
1 week, 2 children
$
270.00
+
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5
Payment Methods
Debit Or Credit Card
Select PayPal Method
Please click one of the PayPal options to complete payment and
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the form.
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