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| Family Name This can be any name or word you choose. Most of our families prefer to use one last name for consistency but some families make up a funny name or saying and have fun being silly! |
| Family Name This can be any name or word you choose. Most of our families prefer to use one last name for consistency but some families make up a funny name or saying and have fun being silly! |
| Comments Use this space for comments or contact information. If there is a best day and time to contact you please let us know by entering it here. Similarly, if there is information we need to know before contacting you you may enter that here as well. |
| Password Select a word of at least 5 characters to be saved as your secret identifier. |
| Password Select a word of at least 5 characters to be saved as your secret identifier. |
| Additional Privacy For your privacy and/or security you may contact us by phone to aquire a login at 1.888.877.5642 |
| Additional Privacy For your privacy and/or security you may contact us by phone to aquire a login at 1.888.877.5642 |
| Enter Name Enter your name as it appears on the credit card entered. |
| Enter Name Enter your name as it appears on the credit card entered. |
| Annual Fee A $45 annual membership fee will be charged to this card upon entry. The membership fee will be applied to the first hour of service from a personal Adventure Planner should you choose to utilize one. |
| Annual Fee $45 annual membership fee will be charged to this card upon entry. The membership fee will be applied to the first hour of service from a personal Adventure Planner should you choose to utilize one. |
| Email Select this option if you would like for us to contact you immediately by email. Please, remember to include your email addrss in the space provided above. If there are any special instructions we need in order to email you or questions you need answered you may enter them in the space labeled "Something We Should Know?". |
| Email Select this option if you would like for us to contact you immediately by email. Please, remember to include your email addrss in the space provided above. If there are any special instructions we need in order to email you or questions you need answered you may enter them in the space labeled "Something We Should Know?". |
| Telephone Select this option if you would like for us to contact you immediately by telephone. Please, remember to include your area code and telephone number in the space provided above. If there is a prefered day and time to call or questions you need answered you may indicate that in the space labeled "Something We Should Know?". |
| Telephone Select this option if you would like for us to contact you immediately by telephone. Please, remember to include your area code and telephone number in the space provided above. If there is a prefered day and time to call or questions you need answered you may indicate that in the space labeled "Something We Should Know?". |
| Regular Mail Select this option if you would like to receive our brochure by regular post. Please be sure to include your complete address, including ZIP code, in the spaces provided on the left. If you need to indicate special mailing instructions or have comments you may enter them below in the space labeled "Something We Should Know?". |
| Regular Mail Select this option if you would like to receive our brochure by regular post. Please be sure to include your complete address, including ZIP code, in the spaces provided on the left. If you need to indicate special mailing instructions or have comments you may enter them below in the space labeled "Something We Should Know?". |
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| © 2001 Children's Concierge. All Rights Reserved. Terms of Service | Privacy Policy | |||
| Original Photography by: Joel Hoffman Photography ™ | |||
Use this space for comments or contact information. If there is a best day and time to contact you please let us know by entering it here. Similarly, if there is information we need to know before contacting you you may enter that here as well.