Payments
You may make payments and purchases using this form.
Final Payment
*
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( X )
SR Staff Child Registration Fee (for Summer Roundup staff only)
$
25.00
Financial Aid Deposit
$
50.00
# of campers
1
2
3
4
5
6
7
8
9
10
2021 FA Balance
$
70.00
Quantity
1
2
3
4
5
2021 FA Balance 2
$
45.00
Camp Deposit
$
95.00
# of campers
1
2
3
4
5
6
7
8
9
10
Final Payment for Camper(s)
$
100.00
# of campers
1
2
3
4
5
6
7
8
9
10
Full Payment
$
195.00
Quantity
1
2
3
Staff Second Child Fee
$
90.00
Payment for Camp Aid
$
25.00
# of campers
1
2
3
4
5
6
7
8
9
10
Optional pre-stamped Summer Roundup postcards (5 per pack)
$
5.00
Quantity
1
2
3
4
Donation to Summer Roundup College Scholarship
$
10.00
Donation
1
2
3
4
5
6
7
8
9
10
Donation to Summer Roundup Camperships to help girls attend camp
$
10.00
Amount
1
2
3
4
5
6
7
8
9
10
Other Payments
$
5.00
Quantity
Total
$
0.00
Type a question
Payment Details if not a standard payment listed above:
Camper's Name
*
First Name
Last Name
Camper's Name
First Name
Last Name
Camper's Name
First Name
Last Name
Camper's Name
First Name
Last Name
Parent's Name
*
First Name
Last Name
Parent's E-mail
*
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