2023 SPRING Camp Registration Form "*" indicates required fields Name* First Last Gender*FMDate of Birth* MM slash DD slash YYYY Grade in the Fall* T-Shirt Size* Youth Med Youth Large Youth X Large Adult M Adult Large Adult X Large Adult 2X Large HiddenPARENT(S) / GUARDIAN(S) information & BILLING INFORMATION Parent(s) / Guardian(s)* First Last This field is used as billing informationEmail* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Relationship to Camper* Phone (Primary)*Phone (Secondary)SELECT A CAMP SESSION(S)Product NameWould you like to pay your registration fee in full or a deposit today?*Payment In FullDeposit ($50 per session)Registration with Payment in FullSPRING FARM CAMP ($350 per session) Session I: April 17 - 21, 2023 Test Registration with DepositSPRING FARM CAMP ($350 per session- Deposit $50) Session I: April 17- 21, 2023 Comment SectionAdditional Comment/Inquiry?Please use this box if you'd like to make a comment and/or ask a question. Thank you. *** BEFORE CLICKING ON THE SUBMIT BUTTON BELOW, PLEASE DOUBLE CHECK YOU SELECTED THE CORRECT CAMP SESSION(S) ABOVE! - THANK YOU!*** SQUARE PAYMENTCredit Card Cardholder Name Card Details Total (FULL TUITION) Please fill in the form below to secure your child’s spot at our Spring Vacation Camp. Upon submitting registration you will be sent to a secure Square to complete your transaction. You have the option now to pay with a credit card.
