Okay, I just typed this up. How does it sound?

I, ___________(my name)________, agree to hold one ________(infant)_____ spot until __(March 1, 2016)____ with a fee of $___(340)___. This will only be refundable if the provider chooses to no longer hold the space. It does not count toward future tuition.

If another person is wanting to fill this position before the agreed upon start date, I may be asked to begin paying full tuition of $__(170)__ per week to continue holding the spot. This is not refundable and will not count toward future tuition. If I choose not to pay the tuition, I understand that I am forfeiting the position and the deposit paid.

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