Parent/Guardian 1 Name
Phone Number
E mail Address
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Parent/Guardian 2 Name
Phone Number
E mail Address
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Week 3 (June 21-25)
Week 4 (June 28-July 2)
Week 5 (July 5-9)
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Week 7 (July 19-23)
Week 8 (July 26-30)
Week 9 (August 2-6)
Week 10 (August 9-13)
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Week 12 (Aug 23-27)
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Date of Birth
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-
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Child Name
Date of Birth
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Child Name
Date of Birth
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Reserve Your Child's Place at Camp by paying a $100.00 Reservation Fee
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Registration Fee for AIO Summer Camp
Registration for AIO Athletics summer camp at Tidewater Adventist Academy. An additional $3.00 fee for online payment.
$
103.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
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the form.
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