Information for Children Registered

Child's Name *

Date of Birth *

Child's Gender *

2nd Child's Name

2nd Child's Date of Birth

2nd Child's Gender

3rd Child's Name

3rd Child's Date of Birth

3rd Child's Gender

Order notes (optional)

Product	Subtotal
1 Month of Classes + $50 Registration × 1 Details Information:	$128.00
Subtotal	$128.00
Total	$128.00

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