Bethlehem Baptist Church
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CRASH COURSE CHILDCARE REGISTRATION
Fill out the form to register your child/children and then
click on either of the links below to pay for childcare
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Parent / Guardian Name
Phone Number:
Parent Email Address:
Child's Name + Age:
Additional Child/Children's Name(s) + Age(s):
How will you be paying for Crash Course Childcare?
I will pay by week, $10/week
I will pay upfront for the entire course, $50
I am not able to afford either payment option
I understand that by signing this form, I am agreeing to pay the above fee for Crash Course Childcare OR communicate to Tina Hawley of nonpayment:
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Submit
Pay Per Week ($10/week per family)
Pay for Entire 7-Week Course ($50 total)
