CCA February 27th Program Registration

Name

First NameLast Name

Email

example@example.com

Camp Name

Person 1

First NameLast Name

Email

example@example.com

In PersonVia Zoom

Person 2

First NameLast Name

Email

example@example.com

In PersonVia Zoom

Person 3

First NameLast Name

Email

example@example.com

In PersonVia Zoom

Person 4

First NameLast Name

Email

example@example.com

In PersonVia Zoom

Person 5

First NameLast Name

Email

example@example.com

In PersonVia Zoom

Person 6

First NameLast Name

Email

example@example.com

In PersonVia Zoom

Person 7

First NameLast Name

Email

example@example.com

In PersonVia Zoom

Person 8

First NameLast Name

Email

example@example.com

In PersonVia Zoom

Please list any dietary restrictions for any individual

My Products

PAY BY CC - CCA MEMBERS

If you or your camp is a CCA member please use this option to Pay by CC

$25.00 Quantity

CCA MEMBERS PAY BY CHECK

Please choose the number of staff and then send a check for $25 per person to 75 Haines Trail Haddem Neck CT 06424

$ Free Quantity

NON CCA MEMBERS PAY BY CHECK

Please choose the number of staff and then send a check for $35 per person to 75 Haines Trail Haddem Neck CT 06424

$ Free Quantity

NON CCA MEMBER PAY BY CC

If you or your camp are NOT CCA members please use this option to Pay by CC

$35.00 Quantity

Total

$0.00

Credit Card