2023 Camp Registration Form
Session 1 (July 17-21) @ Albany Capital Center and Session 2 (August 7-11) @ Rensselaer HS
Camper's Name
*
First Name
Last Name
Gender
*
Boy
Girl
E-mail
*
You will be emailed a week before camp with details to prepare
Address
*
Street Address
Apt #
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Parent/Guardian Name
*
First Name
Last Name
Cell Phone Number
*
Are you a first time camper?
*
Yes
No
Can your child be in photos, videos and on social media for my programs?
*
YES
NO
Age
*
7
8
9
10
11
12
13
14
15
16
17
What grade level (as of Sept 2023)
*
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
What size shirt does your child wear?
*
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
How did you hear about camp?
*
News outlet (Radio, Newspaper)
Facebook
Online Ad
SUMMER CAMP OPTIONS
*
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Albany Cap Center (July 17-21)
$
310.00
Ages 7-11 (9am-1pm) , 12 and up (2pm-6pm): SESSION 1
Albany Cap Center (July 17-21)
$
52.00
Non-refundable deposit. Remaining balance due at arrival
Rensselaer HS (August 7-11)
$
310.00
Ages 7-11 (9am-1pm), 12 and up (2pm-6pm): SESSION 2
Rensselaer HS (August 7-11)
$
52.00
Non-refundable deposit. Remaining balance due at arrival
(BOTH SESSION)
$
560.00
Attend BOTH sessions at Albany Capital Center and Rensselaer HS. Save $50: Discounted rate
DEPOSIT ONLY (BOTH SESSION)
$
105.00
Non-refundable deposit to attend both sessions (Albany Cap Center and Rensselaer HS camps). Remaining balance due at arrival
Total
$
0.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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