If YES - Please skip ahead and only add new information
If NO - Please fill out the form entirely
Spaces are limited!
Check and Cash payments accepted. After filling out the form, you will be sent to PayPal. Ignore the PayPal prompt, and your form will be sent to me. Your child's place is reserved for 5 days. If payment is not received, via mail or otherwise, the spot will be released for someone else.
I understand and agree that these audio, video, film and/or print images may be edited, duplicated, distributed with or without charge, reproduced, broadcast, used online (website, social media, blog, etc), and/or reformatted in any form and manner without payment of fees, in perpetuity.