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Extended Care Week 5 Jul. 31 – Aug. 4, 2017

Extended Care
Week 5 Jul. 31 – Aug. 4, 2017
SU17CEX5
$50

Price:
Price: $50.00
Childs Full Name
Please enter your childs full name.

Price: No additional charge
Childs Date of Birth
Please enter your childs date of birth (mm/dd/yyyy)

Price: No additional charge
Medical or Special Needs
Please provide information regarding any special needs or medical conditions.

Price: No additional charge
Photo Release
Photo release authorization for publicity purposes

Price: No additional charge
Emergency Contact
Please provide a telephone number

Price: No additional charge
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