Kids Camp Fee

In the space provided enter child's first and last name. No nicknames please.

In the space provided enter parent/guardian's first and last name.

In the space provided enter parent/guardian's cell or day time phone number.

In the space provided enter child's date of birth.

In the space provided enter child's age.

In the space provided enter the name of the camp your child will be attending.

In the space provided enter amount you are submitting for payment.

Subtotal Amount
Service Fee
Payment Amount