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After-School Enrichment Registration

* required fields
*

*

Student Name(s)
*
Student Age(s)
*   Grade(s)  *
Parent Phone 1
*
Parent Phone 2
*
Parent Email
*
Parent Name
*

*

PLEASE SUBMIT PAYMENT TO SECURE A SPOT IN CLASS!
(Select Payment Method) *
Check  (make check payable to Monart and submit before class)
Credit Card  (enter card info below or call to pay over the phone)

Credit Card  (Visa,  Mastercard,  Discover  or  Amex)
Number #    Exp.    CVC
Billing Zipcode   Total (see flyer for cost)
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