AI Summer Camp for Kids Form
5 Classes from Monday, July 6th until Thursday, July 9th and Saturday, July 11th Grades: 1st-8th Location: Pioneer Community Center Time: 4:00 PM - 6:30 PM
Parent Name
*
First Name
Last Name
First Child Name
*
First Name
Last Name
Second Child Name
First Name
Last Name
Third Child Name
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization / School / Business Name (IF ANY)
Any Suggestions / Comments / Feedback
AI Summer Camp Registration Fees (For non-member and member fees please select the amount of children attending in the dropdown below)
*
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AI Summer Camp Fees Members
$200.00
$
200.00
Quantity
1
2
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10
AI Summer Camp Fees Non-Members
$250.00
$
250.00
Quantity
1
2
3
4
5
6
7
8
9
10
Debit or Credit Card
Credit Card Number
Security Code
Expiration Month
January
February
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July
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September
October
November
December
Expiration Month
Expiration Year
2026
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2032
2033
2034
2035
2036
2037
2038
2039
2040
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2045
Expiration Year
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