Wildlife Camp Payment Form
Camper Name
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Which week of Camp is your camper attending?
*
Wildlife Basic Camp Week 1 (July 7-11)
Wildlife Advance Camp Week 2 (July 14-18)
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Payments must be made in full before attending camp.
*
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Wildlife Camp Remaining Balance
$
320.00
If you paid the $100 deposit upon registration and wish to pay the remaining balance choose this option.
Quantity
0
1
Item subtotal:
$
0.00
Wildlife Camp Payment
$
100.00
If you paid the $100 deposit upon registration and wish to pay $100 of the remaining balance choose this option. You may want to set a reminder you still owe $220 before camp.
Quantity
0
1
Item subtotal:
$
0.00
Wildlife Camp Payment
$
20.00
If you paid the $100 deposit upon registration and wish to pay $20 of the remaining balance choose this option. You may want to set a reminder you still owe $300 before camp.
Quantity
0
1
2
3
4
Item subtotal:
$
0.00
Total
$
0.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
Should be Empty: