CBOL Registration & Payment Form
Kids' Names
Tuition
Daycare Tuition - $125
0
1
2
3
Infant Care Tuition - $150
0
1
2
3
Aftercare Tuition - $35
0
1
2
3
Before Care & After Care - $45
0
1
2
3
SAFE Registration - $25
0
1
2
3
4
Number of T-shirts ($10/each):
Small:
0
1
2
3
4
5
Med:
0
1
2
3
4
5
Large:
0
1
2
3
4
5
SAFE Tuition - $50
0
1
2
3
4
SAFE Tuition & Aftercare - $75
0
1
2
3
4
Total: $
0
