A Bravenet.com Contact Form

Preferred Customer Summer Enrollment Form

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Are you... * Enrolling Renewing Updating Pausing Cancelling

Please Choose a Level: * Basic (free) Premium ($9.95/yr)

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What is Your Preferred Payment Method? * Credit Card (Automatic) Credit Card (Invoice) PayPal (Invoice Only)

PayPal Email (If Applicable):

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Credit Card Expiration xx/xx:

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Curriculum Style * City Bears City Bears w/ Extra Activities Country Bears Country Bears w/ Extra Activities

Basic Kits: *

Construction Paper Materials:

Toddler Copies:

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Preschool Combo Copies:

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Parent Newsletters:

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Menu: None Lunch Snack Alternating Both

School Year Curriculum (September - May): * Yes No Maybe

This space is for any additional information or questions you may have.