Summer Camp Pre-Registration
Child Name
*
First Name
Last Name
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Child Name
First Name
Last Name
T-Shirt Size
Youth Small
Youth Medium
Youth Large
Child Name
First Name
Last Name
T-Shirt Size
Youth Small
Youth Medium
Youth Large
Child Name
First Name
Last Name
T-Shirt Size
Youth Small
Youth Medium
Youth Large
Parental/Guardian Information
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Relation to Camper
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Registration Fee
$
100.00
Registration fee is non refundable.
Number of Children
1
2
3
4
Total
$
0.00
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
submit
the form.
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