December Vacation Programming

1
Parent/Guardian Name:
First Name
Last Name
2
Member(s) Names:
First & Last Name
First & Last Name
First & Last Name
First & Last Name
3
Checkout Payment required to complete registration
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My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Vacation Programming$100 per child, $50 per additional sibling.
$100.00Edit
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1
1
2
3
4
5
# of Children
Total cost $0.00
4
Payment Methods
Debit Or Credit Card
Select PayPal Method
Please click one of the PayPal options to complete payment and submit the form.
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