Summer Camp Payment
Childs Name
*
First Name
Last Name
Childs Age
Childs Age
Parent Name
*
First Name
Last Name
Phone Number
*
Email Address
*
example@example.com
Summer Camp Payment Options
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( X )
Summer Camp - Weekly
Summer Camp - Weekly
$
200.00
June 6 - June 9
June 13 - June 16
June 20 - June 23
June 27 - June 30
July 5 - July 7
July 11 - July 14
Summer Camp - 3 Week
Summer Camp - 3 Week
$
550.00
June 6 - June 23
June 27 - July 14
Summer Camp - One Time 6 Week
Summer Camp - One Time 6 Week
$
1,000.00
Weekly Before Care
Weekly Before Care
$
50.00
Weekly After Care
Weekly After Care
$
50.00
Weekly 1/2 Day Care
Weekly 1/2 Day Care
$
100.00
Submit
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