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Get Playworks Enrollment/Authorization Form

Day: Saturday: Sunday: Sunday: Sunday: School: School: School: Grade: Grade: Grade: The information above represents the original contracted schedule. For the services listed, I agree to pay Playworks on a weekly basis. If hours are changed, I agree to pay those tuition changes. Parent/Guardian 1: Parent/Guardian 2: Home Address: Home Address: City, Zip: City, Zip: Home Phone: Home Phone: Cell Phone: Cell Phone: Employer: Employer: Work Phone: Work Phone: Email: Email:.

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