P.O. Box 991 • Destrehan, LA 70047
504-722-3636
504-722-3636
REGISTRATION.
My child will be enrolled in (list programs you want your child to participate in)
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TOTAL AMOUNT ENCLOSED_________________________(Before and Aftercare payments must be paid in advance at the
start of each program)
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______________________________________________________________________________________________________________
_____________________________________________________________________________________________________________--
TOTAL AMOUNT ENCLOSED_________________________(Before and Aftercare payments must be paid in advance at the
start of each program)
