I am registering for:
*
Please Select
Camp Oraysa Boys
Camp Oraysa Junior (toddlers through finishing kindergarten)
Camp Oraysa Senior (Middle school boys)
Have you registered a child before at Camp Oraysa for summer 2022?
*
No
Yes, I already registered a child this year, and now I'm registering another one.
Camper Name
*
First Name
Last Name
Grade entering
*
Please Select
Not yet in school
Toddlers
Pre-K
Kindergarten
1
2
3
4
5
6
7
8
9
Camper Age (as of June 27, 2022)
*
Parent Email
example@example.com
Parent Phone Number
Format: (000) 000-0000.
Registering for:
Week 1: June 27 - June 31
Week 2: July 4 - 8
Week 3: July 11 - 15
Week 4: July 18- 22
Week 5: July 25 - 29
Week 6: August 1 - 5
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Medical Information
Does the camper have allergies or medical conditions that are important for the camp to know about?
Please explain on the field provided
Is the camper currently taking any medication?
Please provide the details, the name of the medication and period of intake
Contact Information in Case of Emergency
Name
First Name
Last Name
Contact Number
Format: (000) 000-0000.
Relation to camper
Name
First Name
Last Name
Contact Number
Format: (000) 000-0000.
Relation to camper
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Payment
Signature of parent or guardian representative
My Products
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Camp Oraysa Boys
Boys finishing grades K-5
$
200.00
Camp Oraysa Senior
Boys finishing grades 6 and 7
$
225.00
Camp Oraysa Junior
Toddlers and preschool
$
165.00
Bill me
$
Free
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: