Pilgrim Quest: Halloween Party
Select which one best describes your family
*
Please Select
Pilgrim Summer Camp Family
Current Pilgrim School Family
Both
Enter an email address for this form.
*
This is in case we have to communicate with you about this submission.
Parent or emergency contact info:
*
Select the number of students for this order
*
Please Select
1 Child
2 Children
** Two children per form allowed. Please submit another form for additional children **
Child #1 Info
Child #1 Name
*
First Name
Last Name
Child #1 Grade Level
*
Please Select
PK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Child #1: Date of Birth
Format: mm/dd/yyyy
Child #1: Allergies/ Medical Conditions
Child #1: Notes (Optional)
Anything we should know about child
Child #2 Info
Child #2 Name
First Name
Last Name
Child #2 Grade Level
Please Select
PK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Child #2: Date of Birth
Format: mm/dd/yyyy
Child #2: Allergies/ Medical Conditions
Child #2: Notes (Optional)
Anything we should know about child
Please make sure to click on the dropdown box to select your choices.
Selections Below:
prev
next
( X )
Quest: Halloween Party (Oct 23)
$40.00
$
40.00
Child #1 Only
Both Children
Item subtotal:
$0.00
$
0.00
Quest: Custom Dollar Amount
$1.00
$
1.00
Dollar Amount
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
Item subtotal:
$0.00
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Submit
Should be Empty: