Summer Camp Registration WAITLIST

Payment Form
Student Information
Student's Name (not required if this is a donation)

First NameLast Name
Siblings Name Attending Camp (optional)

First NameLast Name
Sibling's Name ATTENDING Camp (optional)

First NameLast Name
Parent/Guardian Information OR Donor's Name
Name*

First NameLast Name
E-mail*
Confirm E-mail*
example@example.com
Camp Fees are $50 per session
My Products
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Session 1 for 1 child July 7-17
This is for a 2 week summer session.

$50.00 Quantity

Session 2 for 1 child August 4-14
This is for a 2 week summer session.

$50.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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