Online Camp Registration Form
Name:
Email Address:
Full Address:
Date of Birth:
Parents:
Camp City:
Registration Fee (Mandatory): $195
Registration Fee:(Easy Pay 3 Installment Option - $75)  
Headshot Photo Shoot: $100
Extra Parent Door Badges: $10
Grand Total
Name on Credit Card
Credit Card (Visa, MC, Amex, Disc)
Expiration Date
Security Code (on back of card)
Postal Code for Credit Card
OR, SAVE AND PRINT THE JPEG BELOW:
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