COOL KIDS VIRTUAL AFTER SCHOOL SESSION PAYMENT FORM 2019-2020-1

COOL KIDS VIRTUAL AFTER SCHOOL SESSION PAYMENT FORM

2021-2022

ATTENTION:DO NOT USE THIS FORM IF YOU ARE REGISTERING FOR THE FIRST TIME. USE ONLY TO MAKE PAYMENTS FOR SESSIONS MONTHLY ONCE ENROLLED.

ALL MONTHLY SESSION PAYMENTS MUST BE RECEIVED BEFORE YOUR CHILD JOINS THE AFTERSCHOOL SESSIONS. FEES ARE BASED ON CONSECUTIVE MONTHLY ENROLLMENT. IF THERE IS A BREAK IN MONTHLY ENROLLMENT THEN A RE-REGISTRATION FEE OF $50 IS APPLIED TO RESUME ENROLLMENT.

COOL KIDS CLUB AFTER SCHOOL

Guardian Information

First Name*

Last Name*

Billing Address*

City*

State*

Zip Code*

Guardian"s" E-mail Address*

Phone Number*

Student Information

Number of Students*

FIRST CHILD

Name Of Student1*

Session Dates:

SESSION 1: SEPTEMBER 6, 2021-DECEMBER 16, 2021

(WEDNESDAY-THURSDAY 3:00PM-5:00PM)

SESSION 2: JANUARY 5, 2022-JUNE 2, 2022
(WEDNESDAY-THURSDAY 3:00PM-5:00PM)

PLEASE SCROLL TO THE BOTTOM OF THE PAGE TO MY PRODUCTS AND SELECT THE REGISTRATION FOR THE NUMBER OF STUDENTS BEING REGISTERED AND THE SESSIONS YOU ARE PAYING FOR ON ALL STUDENTS AND THEN PROCEED TO CHECK OUT!Additional Weekly Payment Options Available contact: 747-200-5752 or algebraclubcoolkids1@gmail.com for more information

ATTENTION: WE WILL BE CLOSED MONDAY NOVEMBER 22, 2021 - FRIDAY, NOVEMBER 26, 2021 IN OBSERVANCE OF THE THANKSGIVING HOLIDAY. ALSO FOR THE WINTER BREAK DECEMBER 20, 2021 - DECEMBER 31, 2021.

Name Of Student2

Name Of Student3

MY PRODUCTS

For Information Contact PleaseAdministratoralgebraclubcoolkids1@gmail.com

747-200-5752