Camp Carnegie 2021

Camper Information

Please fill out the information below regarding your camper.

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

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*
$
After you complete this form, select Submit to enter your payment details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
Additional Comments

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