Extended Hours Daily Registration Gap Week
Name of Camper:
*
First Name
Last Name
Age:
*
Parent Email:
*
example@example.com
I am registering my child for the following service(s):
Early Care (8:40-9:30)
Aftercare (3:30-4:45 M-Th, 2:15-3:05 F)
I am registering my child for the following day(s):
8/11
8/12
8/13
8/14
8/15
Other
Credit Card Submission
*
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Daily Early Care
$
9.00
Quantity
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Daily Aftercare
$
14.00
Quantity
0
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Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Submit
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