Brain-O-Magic Elite Club - Graduate Practice
Sunday 7.30-8.30 PM (May, June, July)
Graduate Name
First Name
Last Name
Parent's Email
example@example.com
Graduates's Email (if any)
example@example.com
Parent's Phone No
-
Area Code
Phone Number
Graduates's Phone No (if any)
-
Area Code
Phone Number
My Products
*
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( X )
3 months
$
150.00
4 Weeks
$
60.00
Drop IN Class
$
20.00
Drop IN Class 2
$
20.00
Drop IN Class 3
$
20.00
Total
$
0.00
Select your preferred 4 weeks
5/5/24
5/12/24
5/19/24
5/26/24
6/2/24
6/9/24
6/16/24
6/23/24
6/30/24
7/14/24
7/21/24
7/28/24
Date for 1st DropIn
5/5/24
5/12/24
5/19/24
5/26/24
6/2/24
6/9/24
6/16/24
6/23/24
6/30/24
7/14/24
7/21/24
7/28/24
Date for 2nd DropIn
5/5/24
5/12/24
5/19/24
5/26/24
6/2/24
6/9/24
6/16/24
6/23/24
6/30/24
7/14/24
7/21/24
7/28/24
Date for 3rd DropIn
5/5/24
5/12/24
5/19/24
5/26/24
6/2/24
6/9/24
6/16/24
6/23/24
6/30/24
7/14/24
7/21/24
7/28/24
Submit
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