December 2017 Vacation Camp

February 2018 Vacation Camp

Registration due by 2/14/2018 at 4 pm

Student Name *

Student Name

Class

Please reserve the following times for my child

Please check the day(s) and pick-up time.

Tuesday, February 20

Pick up by 5 pm - $90

Pick up by 12:00 noon - $50

Wednesday, February 21

Pick up by 5 pm - $90

Pick up by 12 noon - $50

Thursday, February 22

Pick up by 5 pm - $90

Pick up by 12 noon - $50

Friday, February 23

Pick up by 5 pm - $90

Pick up by 12 noon - $50

Payment

Total Amount *

First Name *

Last Name *

Street *

Street (cont'd)

City *

State *

Zip Code

Email *

Payment *

Credit Card

PayPal

Credit Card

Credit card number

Secure code

Month

Year

Leave this field blank

Search form