Childrens Summer Camp July 24-28, 2017

Students Name
Students Current Grade
Contact Phone Number
Know Allergies	*
T-Shirt Size	*  Youth SmallYouth MediumYouth LargeYouth x-largeAdult small
Payment Amount	*  Deposit  (Add $55.00)Payment  (Add $5.00)Payment  (Add $25.00)Payment  (Add $50.00)Payment  (Add $105.00)Pay Full Amount  (Add $160.00)
Your Email Address	*
Total	$