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First Name |
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Home Phone |
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Last Name |
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Work Phone |
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Address |
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Cell Phone |
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Town |
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DOB |
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Zip |
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Type |
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Day & Time |
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Parents Signature |
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Programs |
Ages |
Clinic Times |
Daily Fee |
Weekly Fee |
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Munchkins |
6-7 |
11am-12pm |
$22 |
$99 |
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Future Stars |
7-11 |
12-1pm |
$22 |
$99 |
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Juniors Development |
11-14 |
1-2:30pm |
$33 |
$148 |
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High School |
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2:30-4:30pm |
$44 |
$198 |
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Adults |
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9-11 am |
$44 |
$198 |