The Crossings at Cedarmore Youth Camp- Monthly Payments

The Crossings at Cedarmore Youth Camp DATES: June 28-July 2, 2019 LOCATION: Cedarmore Conference Center Bagdad, KY TOTAL COST: $289
If you have already registered and paid the non-refundable $75 deposit, please use this form to make additional payments. THE FULL BALANCE OF $214 MUST BE PAID BY JUNE 14, 2019.
Student's Name	*
Parent's Name	*
Phone Number	*
Your Email Address	*
A monthly payment plan has been set up for your convenience. If you choose to make a different payment, click OTHER, then input the dollar amount in the next box.	OTHER March 13  (Add $53.50)April 14  (Add $53.50)May 12  (Add $53.50)June 14  (Add $53.50)Balance Due  (Add $214.00)
If you prefer to make a different payment than what is suggested, please note in the box the amount you wish to pay.	$
Total	$