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Group Date Request
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After-School Program
Monday-Friday, beginning now through June 1, 2012, school holidays included!
3:00 PM - 7:00 PM
$70 for one week :: $260 for one month
* Mandatory field
Download the After-School Program Flyer here!
*
Parent Name:
*
Child #1 Name:
*
Child #1 Age:
Name of school this child attends:
Child #2 Name:
Child #2 Age:
Name of school this child attends:
Child #3 Name:
Child #3 Age:
Name of school this child attends:
Child #4 Name:
Child #4 Age:
Name of school this child attends:
Phone Number:
Fax Number:
Home Address
Street:
City:
Zip Code:
*
eMail Address:
Best time to call:
to
Which location are you interested
in for the After-School Program?
Arlington Putt-Putt
Hurst Putt-Putt
Fort Worth Putt-Putt
Which dates would you like to sign up for?:
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