Children's Camp Registration
May 30th-June 2nd | To register for camp, please fill out this form and click submit.
Name
*
Grade Completed in 23-24 School year.
*
Please select one option.
Kindergarten
1st
2nd
3rd
4th
5th
Shirt Size
*
Please select one option.
youth extra small
youth small
youth medium
youth large
adult small
adult medium
adult large
other size please contact me
Parent's name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Camp Experience
*
Please select one option.
Overnight Camp
Day Camp Only
Payment
Pay in Person ($0)
Full Price ($200.00)
Camp Deposit ($50)
Pay in Person ($0)
Full Price ($200.00)
Camp Deposit ($50)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
May 30th-June 2nd
To register for camp, please fill out this form and click submit.
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