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Kaleidoscope Summer Programs Registration Child’s name ___________________________________________________________________ Parent’s Name __________________________________________________________________ Address_________________________________________________________________________ Phone Number ___________________________________________________________________ Monthly child care July _________ August ___________ Post dated cheques for $625.00 per month (or pro-rated fees) enclosed ____________ OR
OR Daily Fees (subject to availability) $35.00 per day $35 X ___________ =___________________ (Total enclosed) Please specify dates ___________________________________________________________________________ _____________________________________________________________________________________________ | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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