ENRICHMENT CLASSES 24-25 - YOGA
September 9th | Please fill out this form for each of your children for their enrichment classes. Fee is for one year/
MEMBER/PARENT NAME
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Student Name
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Email
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This address will receive a confirmation email
Phone
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Suggested Donation
NON -MEMBER PRICE ($50)
MEMBER PRICE (30)
NON -MEMBER PRICE ($50)
MEMBER PRICE (30)
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Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
September 9th
Please fill out this form for each of your children for their enrichment classes. Fee is for one year/
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