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High Holiday Childcare Registration

We are please to offer childcare arrangements.

All children must be potty trained. This is a free service.

* Parent Name

* Mobile Phone Number

* So that we may plan accordingly let us know the services you expect to require babysitting services

* Enter the names and ages of the children

Comments/Notes

*E-mail

*First Name

*Last Name

Account

Online Fee:

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total: