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* 1. Member name

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* 2. Parent Name

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* 3. Parent Phone Number

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* 4. Select Day(s)

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* 5. I understand that if I must cancel services, that I must text 714-360-3628 or send a message on ProCare, 24 hours before day of cancelation to avoid $25 No Call/ No Show fee.

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* 6. I understand that a No Call/ Show will result in a $25 fee per day.

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* 7. I acknowledge that I have seen the Thanksgiving Break Flyer that lists the following: Registration Dates, Cancellation Dates, Lunch menu, & the theme for each day.

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