First Students Summer Camp
Fuge Summer Camp // June 9-13 // Regent University // Virginia Beach, VA Camp Cost: $400 **Additional campers from the same family will have a camp cost of $350
Student Name
*
First Name
Last Name
Student Phone Number
Please enter a valid phone number.
Student Current Grade
*
Please Select
6
7
8
9
10
11
12
Student T-Shirt Size (Adult Sizes)
*
Please Select
Small
Medium
Large
XL
XXL
Second Sibling Student Name
First Name
Last Name
Second Student Phone Number
Please enter a valid phone number.
Second Student Current Grade
Please Select
6
7
8
9
10
11
12
Second Student T-Shirt Size (Adult Sizes)
Please Select
Small
Medium
Large
XL
XXL
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Allergies for each Student
Medication for each Student
Preferred roommates for each Student (Don’t have anyone in mind? No Problem! We will carefully select the best room for you!)
Any additional notes or comments?
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Camp Deposit
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$
100.00
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Full Payment
If paying full payment, no need to pay deposit
$
400.00
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