Kids Camp Registration Form

Please Note: This registration will not be completed until you pay for the class and the $5 processing fee by phone using VISA, MasterCard, Discover or American Express.

Kids Camp Registration Form

Registration Information

Camper's Name(Required)

Camper's Date of Birth(Required)

Mailing Address(Required)

City(Required)

State(Required)

ZIP Code(Required)

Parent/Guardian's Name(Required)

You are the childs(Required)

Parent/Guardian's Email Address(Required)

Parent/Guardian's Phone Number(Required)

Camp Selections

Camp Title

Camp Date

CRN Number

Camp Title

Camp Date

CRN Number

Camp Title

Date

CRN Number

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