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Summer Camp 2024 Registration Form
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1
Child 1 Name
*
This field is required.
First Name
Last Name
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2
Gender
*
This field is required.
Please Select
Male
Female
N/A
Please Select
Please Select
Male
Female
N/A
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3
Age of Child
*
This field is required.
Please Select
5
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14
Please Select
Please Select
5
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4
Shirt Size for Child 1
*
This field is required.
Please be sure to identify correctly adult versus youth size. What you mark will be what the child receives. All shirts are 100% cotton.
Please Select
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Please Select
Please Select
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
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5
Camp selection for child 1
*
This field is required.
All camps are full day (8:30am-4pm). Mark all that apply.
Engineering Design Camp (July 22-26)
Master Builder Camp 2 (July 29-August 2)
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6
Are you wanting to sign up a 2nd child for camp?
*
This field is required.
Yes
No
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7
Child 2 Name
First Name
Last Name
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8
Child 2 Gender
Please Select
Male
Female
N/A
Please Select
Please Select
Male
Female
N/A
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9
Age of Child 2
Please Select
5
6
7
8
9
10
11
12
13
14
Please Select
Please Select
5
6
7
8
9
10
11
12
13
14
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10
Shirt Size for Child 2
Please be sure to identify correctly adult versus youth size. What you mark will be what the child receives. All shirts are 100% cotton.
Please Select
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Please Select
Please Select
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
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11
Camp selection for child 2
All camps are full day (8:30am-4pm). Mark all that apply.
Engineering Design Camp (July 22-26)
Master Builder Camp 2 (July 29-August 2)
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12
Are you wanting to sign up a 3rd child for camp?
Yes
No
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13
Child 3 Name
First Name
Last Name
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14
Child 3 Gender
Please Select
Male
Female
N/A
Please Select
Please Select
Male
Female
N/A
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15
Age of Child 3
Please Select
5
6
7
8
9
10
11
12
13
14
Please Select
Please Select
5
6
7
8
9
10
11
12
13
14
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Enter
16
Shirt Size for Child 3
Please be sure to identify correctly adult versus youth size. What you mark will be what the child receives. All shirts are 100% cotton.
Please Select
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
Please Select
Please Select
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
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Submit
Press
Enter
17
Camp selection for child 3
All camps are full day (8:30am-4pm). Mark all that apply.
Engineering Design Camp (July 22-26)
Master Builder Camp 2 (July 29-August 2)
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18
How would you like to pay for your camp(s)?
*
This field is required.
Please Select
Pay in Full Now! ($25 off each camp)
Installment Option (Full $250 spread out)
Please Select
Please Select
Pay in Full Now! ($25 off each camp)
Installment Option (Full $250 spread out)
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19
Do you need extended day until 5:30pm?
*
This field is required.
$10/child per day extra
YES
NO
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20
Parent Name
*
This field is required.
First Name
Last Name
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21
Parent/Guardian E-mail
*
This field is required.
example@example.com
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22
Mobile Number
*
This field is required.
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23
Terms and Conditions
*
This field is required.
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24
Camp Payment
*
This field is required.
Choose between: Option 1: Pay in Full Now! Option 2: Installment Option Option 3: Extended Day (percent off if paid for now) Quantity selection help: choose quantity by multiplying number of children by number of camps. (example: 2 children going to 2 camps each = quantity 4)
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Great Product Name
$20
Quantity:
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Size:
Small
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Great Product Name
$20
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Size:
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Great Product Name
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Quantity:
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Size:
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ORDER SUMMARY
Tax
USD
Subtotal
USD
Total cost
USD
Full Day Camp Pay Now!
Pay now, save money, and you don't have to worry about missing another payment!
$
225.00
+
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Quantity
Extended Day
Pay for your extended day now and receive 20% off! If chosen that week it will be the full $10/day ($50/week).
$
40.00
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Quantity
Credit Card
First Name
Last Name
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