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THE AGNON SCHOOL AFTER SCHOOL ACTIVITIES SIGN-UP SHEET
Student Name____________________________________
Activity________________________________________
| Grade__________________
Amount Paid____________
|
Student Name_____________________________________
Activity_________________________________________
| Grade__________________
Amount Paid____________
|
Student Name_____________________________________ Activity_________________________________________
| Grade__________________ Amount Paid____________
|
Student Name_____________________________________ Activity_________________________________________
| Grade__________________
Amount Paid____________
|
Student Name_____________________________________ Activity_________________________________________
| Grade__________________
Amount Paid____________
|
Payment by cash, check or credit card must accompany this registration form.
| Check ⃞ | Cash ⃞ | Mastercard ⃞ | Visa ⃞ |
| Credit Card Number _____________________________
| Expiration Date ______________
| ||
Signature ___________________________________________________________________ | |||
Address____________________________________________________________________
| |||