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Home
About
Curriculum
Pricing
Register
Contact

Register

Number of Children to Register

Selected Value: 1

Child Information

Name *

First

Last

Date of Birth *//

Gender *

Male
Female

Child 1 Grade Level

First/Second - $ 250.00
Third/Fourth - $ 275.00
Fifth/Sixth - $ 325.00
Seventh - $ 400.00

Name of School *

Child 2 Information

Child 2 Name *

First

Last

Date of Birth *//

Gender *

Male
Female

Child 2 Grade Level

First/Second - $ 250.00
Third/Fourth - $ 275.00
Fifth/Sixth - $ 325.00
Seventh - $ 400.00

Name of School *

Child 3 Information

Child 3 Name *

First

Last

Date of Birth *//

Gender *

Male
Female

Child 3 Grade Level

First/Second - $ 250.00
Third/Fourth - $ 275.00
Fifth/Sixth - $ 325.00
Seventh - $ 400.00

Name of School *

Child 4 Information

Child 4 Name *

First

Last

Date of Birth *//

Gender *

Male
Female

Child 4 Grade Level

First/Second - $ 250.00
Third/Fourth - $ 275.00
Fifth/Sixth - $ 325.00
Seventh - $ 400.00

Name of School *

Child 5 Information

Child 5 Name *

First

Last

Date of Birth *//

Gender *

Male
Female

Child 5 Grade Level

First/Second - $ 250.00
Third/Fourth - $ 275.00
Fifth/Sixth - $ 325.00
Seventh - $ 400.00

Name of School *

Parent/Guardian Information

Title *

Mr.
Mrs.
Ms.
Dr.

First Name *

Last Name *

Email *

Phone *

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Total

$ 0.00

Stripe Credit Card *

Card

Name on Card

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About
Curriculum
Pricing
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Contact

Magnolia Cotillion By Ryanne Madigan

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