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Summer Children GooZoom Class
Registration Form
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Email
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Your email
Name (Student)
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Your answer
Date of Birth
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MM
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DD
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YYYY
Phone
*
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Address
*
Your answer
Emergency Contact
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Emergency Contact 2
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Session to register
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Tuition: 1 week $ 100; 3 Weeks $ 270; 6 weeks $ 540; 9 weeks $ 810
Summer I July 6 - July 24 (3 weeks)
Summer II July 27 - August 14 (3 weeks)
Summer III August 17 - September 4 (3 weeks)
Summer GooZoom July 6 - September 4 (9 weeks)
One week (Please specify the week)
One Week
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Parent or Guidance
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