Chess Over Checkers

1Event Details

2Parent Information

3Children Information

4Terms And Conditions

5Checkout

First Parent*
First Last
Second Parent
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Home phone number*
Cell phone number*
Email Address*
Address*
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Children Details

Name	Nickname	Date of Birth	Allergies	Other Allergies	Areas of Concern	Other Area Of Concern	Actions
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TERMS AND CONDITIONS*
- I acknowledge that i have read and agree to children at play event childcare, LLC TERMS AND CONDITIONS.
Signature*

Billing Details
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First Last
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Address*
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Phone*
Email Address*
Additional information
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Price
Subtotal

Booking Fee

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Total
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Supported Credit Cards: American Express, Discover, MasterCard, Visa, JCB, Maestro
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Billing Details