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Youth Programs & Services Preschool

BJP Registration Payment Form

BJP Registration Payment Form $195 per child
Name of PERSON completing this form:*

First Name Last Name
E-mail*
Student Information:
*

Child One
Full Name Child One*

First Name Child 1 Last Name
Child Two
Full Name Child Two

First Name Child 2 Last Name
Click to edit

Child Three
Full Name Child Three

First Name Child 3 Last Name
Fees & Payment
Total

$0.00

Payment*

Credit Card Paypal

Postal / Zip Code

Country

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