Saturday Camp
Fill out the form carefully for sign up of each participant.
Class Date
*
August 13, Saturday 10 to 1 PM
Class Date
*
August 27th, Saturday 10 to 1 PM
Class Participant Name
*
First Name
Last Name
Gender
*
Male
Female
N/A
Age
*
Ethnicity
*
Hispanic/Latino
African American
Asian
White Caucasian
City where you live
*
Family/Parent/Guardian Name
*
First Name
Last Name
E-mail
*
Mobile Number
*
-
Area Code
Phone Number
Number in Household
*
Number over 62
*
My Products
*
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August Monthly Family Donation
$
25.00
June Monthly Family Donation
Already donated this month via Zelle, Cash, Check or Online Banking!
$
Free
Please hit PayPal to check out. (Zelle - rocknourdisabilities@gmail.com)
Total
$
0.00
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