Daycare Tuition Program Enrollment Form
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1DAYCARE TUITION PROGRAM ENROLLMENT FORM
Owner's Name:
Contact Number:
E-Mail Address:
Pet's Name:
Species:
Breed:
Age:
Sex:
Please check the day(s) of the week you wish to have your dog attend Doggy Daycare:
Monday
Tuesday
Wednesday
Thursday
Friday
I authorize Pet N Play Luxury Resort to charge my card ending (last four digits) ____________
st
expiration _____/_____ security code_____ on the 1
of each month at the following rate:
One day per week: $120/month + tax
Two days per week: $220/month + tax
Three days per week: $300/month + tax
Four days per week: $365/month + tax
Five days per week: $415/month + tax
Signature:_______________________________________________________ Date:____________
5349 Route 9W · Newburgh, NY 12550 · (845) 562-7861 ·
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Parent category: Education