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Virtual Learning Weeks
$25.00
–
$240.00
How many children
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1
2
3
Number of days per week?
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1
2
3
4 or 5
Full day (including up to 2 after school days) or afternoons only?
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What School?
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Blair
Eaton
Murrayville
Ogden
Porters Neck
Other
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Days of week attending
Monday
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Tuesday
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Wednesday
0 $
Thursday
0 $
Friday
0 $
Child #1
*
Child Name
$
*
Gender
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Male
Female
$
*
Grade Level
$
Child #2
Child Name
$
Gender
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Male
Female
$
Grade Level
$
Child #3
Child Name
$
Gender
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Male
Female
$
Grade Level
$
Parents
*
Parent #1 Name
$
*
Parent #1 Phone Number(s)
$
*
Parent #1 Email
$
*
Parent #1 Address
$
Parent #2 Name
$
Parent #2 Phone Number(s)
$
Parent #2 Email
$
Parent #2 Address
$
Additional
Additional Authorized People to Pick Up
$
Additional Email Addresses
$
Special Instructions or Medical Concerns
$
*
May we share your contact information with other Off The Wall parents for birthday parties, etc?
Yes
$
No
$
*
May we include your child in group photos on social media (Facebook, Instagram)?
Yes
$
No
$
*
How many children
Choose an option
1
2
3
*
Number of days per week?
Choose an option
1
2
3
4 or 5
*
Full day (including up to 2 after school days) or afternoons only?
Choose an option
Full days
Afternoons only
Reset options
Virtual Learning Weeks quantity
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SKU:
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Category:
After School Program
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