Day Camp Registration Form
SUMMER 2024
Parent Name
*
First Name
Last Name
Email
*
example@example.com
Camper Name
*
First Name
Last Name
Camper Age
*
7
8
9
10
11
12
Age of Camper during week of camp.
Camper Gender
*
Boy
Girl
Camper T-Shirt
*
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Adult XXX-Large
Debit or Credit Card Method
*
prev
next
( X )
Day Camp Camper Fee
Non-Bledsoe County Residents
$
75.00
Day Camp Bledsoe County Camper Fee
Applies a $50 Scholarship for Bledsoe County Residents
$
25.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: