Kids Camp Registration Form

Please Note: This registration will not be completed until you pay by phone using VISA, MasterCard, Discover or American Express.

Registration Information

Camper's Name(Required)

Camper's Date of Birth(Required)

Parent/Guardian's Name(Required)

Parent/Guardian's Phone Number

Parent/Guardian's Email Address(Required)

Mailing Address(Required)

City(Required)

State(Required)

ZIP Code(Required)

Camp Selections

CRN Number(Required)

Camp Title(Required)

Cost(Required)

CRN Number

Camp Title

Cost

CRN Number

Camp Title

Cost

CRN Number

Camp Title

Cost

Total Cost (add $5 processing fee)(Required)

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