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2. Child's Name*
3. Additional Child's Name (if Applicable)
5. Payee's Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Email Address*
14. Phone Number
18. PLEASE NOTE:

    Payments must be made in full or with the Flex-Pay option, which requires half payment by June 1^st and the second half due July 1^st. 

20. West Hanover Residents
    First Child
21. Price
22. Number of Weeks

    Full Payment or Flex-Pay (Half Payment)

23. Shipping Cost
25. Taxable
27. West Hanover Residents
    Additional Child(ren)
28. Price
29. Number of Weeks

    Full Payment or Flex-Pay (Half Payment)

    
    

30. Shipping Cost
32. Taxable
34. Non-Resident
    First Child
35. Price
36. Number of Weeks

    Full Payment or Flex-Pay (Half Payment)

37. Shipping Cost
39. Taxable
41. Non-Resident
    Additional Child(ren)
42. Price
43. Number of Weeks

    Full Payment or Flex-Pay (Half Payment)

    
    

44. Shipping Cost
46. Taxable
Leave This Blank:


47. Calculate Totals Proceed to Checkout

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