Paint Night Mondays - at Bonanza Office
Fill out the form carefully and sign up of each participant.
Class Date 2 Class times available
Monday, December 2nd, 5:00 - 6:00pm
Class Date
Monday, December 2nd 5:30 - 6:30pm
Class Date
Monday, December 9th, 5:00 - 6:00 pm
Class Date
Monday, December 9th, 5:30 - 6:30pm
Class Date
Monday, December 16th, 5:00 - 6:00pm
Class Date
Monday, December 16th, 5:30 - 6:30pm
Class Date
Monday, August 26th, 5:00 - 6:00pm
Class Date
Monday, August 26th, 5:30 - 6:30pm
Class Participant Name
*
First Name
Last Name
Gender
*
Male
Female
N/A
Age
*
Ethnicity
*
Hispanic/Latino
African American
Asian
White Caucasian
Other
City where you live
*
Family/Parent/Guardian Name
First Name
Last Name
E-mail
Mobile Number
*
-
Area Code
Phone Number
Number in Household
*
Number over 62
*
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December Family Donation
$
50.00
December Monthly Family Donation
December IRC Reimbursement
$
50.00
IRC Reimbursement Payment for Recreational Services, Basketball, Dance, Karate, Soaring Eagles
December Monthly Family Donation
$
75.00
December Monthly Donation
December IRC Reimbursement
$
75.00
IRC Reimbursement Payment for Recreational Services, Basketball, Dance, Karate, Soaring Eagles
December Monthly Family Donation
$
100.00
December Monthly Family Donation
December IRC Reimbursement
$
100.00
IRC Reimbursement Payment for Recreational Services, Basketball, Dance, Karate, Soaring Eagles
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