Name of Camper
*
First Name
Last Name
AGE
*
Guardian Name
*
First Name
Last Name
WEEK OPTIONS
*
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( X )
WEEK 2: June 23rd-27th
$
200.00
10-12
Quantity
0
1
2
3
4
5
6
7
8
9
10
11
12
Item subtotal:
$
0.00
WEEK 3: July 14th-18th
$
200.00
10-12
Quantity
0
1
2
3
4
5
6
7
8
9
10
11
12
Item subtotal:
$
0.00
DAILY DROP
$
60.00
Quantity
0
1
2
3
4
5
6
7
8
9
10
11
12
DAY
Monday
Tuesday
Wednesday
Thursday
Friday
Total
$
0.00
Credit Card
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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