Parents Name
*
First Name
Last Name
Childs Name & Age
*
First NAME
AGE
Mobile Number
*
-
Area Code
Phone Number
Kids CAMPS
*
MINECRAFT CAMP per. Child
$
80.00
CAD
Oct 17 & 24th, MINECRAFT CAMP
Quantity
0
1
2
3
4
5
6
X-MAS CAMP per. Child
$
80.00
CAD
Nov 21 & 28th XMAS CAMP
Quantity
0
1
2
3
4
5
6
Total
$
0.00
CAD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: