Camp Carnegie 2021

Camper Information

Please fill out the information below regarding your camper.

Camper First and Last Name*
Camper Allergies*
Camp Date Options*
  • Opportunity #1, June 21-25
  • Opportunity #2, July 12-16

Parent Contact Information

Country*
Email*
Confirm Email*
Phone*

Emergency Contact Information

Please provide two emergency contacts for your camper other than the parent name on this registration form.

Emergency Contact #1*
Emergency Contact #1 Phone Number*
Emergency Contact #2*
Emergency Contact #2 Phone Number*

Event Information

Quantity
Price
Total
Not-Yet Member Price
X
$
190.00=
$
0

Member Price
X
$
160.00=
$
0

Final Total:
$
0

Payment Information

Amount*
$
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
Additional Comments

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