Memorial Day Mini Camp Registration

Quantity
Price
Total
Single Mini Camp Registration
X
$
10.00=
$
0

Family Discount Mini Camp Registration

2 or more registrations for children within the same household are required to qualify for the family discount rate

X
$
8.00=
$
0

Final Total:
$
0

Parent/Guardian Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*
Child's Name and Age*
Emergency Contact Name / Phone Number*
List of names and phone numbers for those authorized for pickup *
How did you hear about our camp?*

Payment Information

Amount*
$
Name on Card*
Card Number*

List allergies, medical issues or any other special needs here

Additional Comments

Security Code