Student Summer Camp July 1-5, 2024.

Please fill out this form and click submit.

Student's Name

*

Student's Phone

*

Student's Email

Parent/Guardian's Name

*

Parent/Guardian's Phone

*

Parent/Guardian's Email

*

This address will receive a confirmation email

Sex

*

Please select one option.

Male Female

Current Grade

*

Please select one option.

6 7 8 9 10 11 12

T-Shirt Size

*

Please select one option.

Adult Small Adult Medium Adult Large Adult X-Large Adult 2X

Payment: $75 Deposit or $400 Full Payment.

Deposit ($75) Full Payment ($400)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.

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