3 - Club Kare Payment Form

CLUB KARE PAYMENT FORM

Please use this form to pay off the amount owed on your invoice.
Parent's Email*

Confirmation EmailPlease use the same email that was used on the enrollment form.
Child's Name*

First NameLast Name
Please enter your KYL or Pearl Prep Member ID*
Your Member ID is available on your Invoice.
Please select the weeks you would like to pay for: (Please Note: The Friday outing to Medieval Times is now full. If you sign up for week 4 you can still come Monday-Thursday, but you will not be able to come on Friday. Please email clubkare@kyl.org for information about Monday-Thursday pricing for week 4.)*

Week 1 (June 3-7) Adventure CampWeek 2 (June 10-14) Arts, Crafts & Inventors CampWeek 3 (June 17-21) Kids in Motion CampWeek 4 (June 24 - 28) Journey Through Time Camp (FRIDAY OUTING IS FULL)Week 5 (July 1-3 & 5) Level Up Gamers CampWeek 6 (July 8 - 12) STEM & Robotics CampWeek 7 (July 15 - 19) Earth & Life Science Camp
Week #1 Payment*
Please enter the amount you are paying for Week1.
Week #2 Payment*
Please enter the amount you are paying for Week2.
Week #3 Payment*
Please enter the amount you are paying for Week3.
Week #4 Payment*
Please enter the amount you are paying for Week4.
Week #5 Payment*
Please enter the amount you are paying for Week5.
Week #6 Payment*
Please enter the amount you are paying for Week6.
Week #7 Payment*
Please enter the amount you are paying for Week7.
Week #8 Payment*
Please enter the amount you are paying for Week8.
Week #9 Payment*
Please enter the amount you are paying for Week9.
Week #10 Payment*
Please enter the amount you are paying for Week10.
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10
CK Code*
Item Key*
Your Payment Today*

Amount Due

USD

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

CLUB KARE PAYMENT FORM