Centri-Kid Camp 2019 - Monthly Payments

CENTRI-KID CAMP DATES: June 15-19, 2019 LOCATION: Ridgecrest Conference Center, NC
Camper's Name	*
Parent's Name	*
Home Address *
Your Email Address	*
Phone Number	*
Make your payment here. If you choose to pay a different amount, then choose OTHER and input the amount you wish to pay in the following box below.	*  OTHER March 3  (Add $87.50)April 7  (Add $87.50)May 5  (Add $87.50)June 2  (Add $87.50)Full amount due  (Add $290.00)
If you prefer to make a different payment than what is suggested, please note in the box the amount you wish to pay.	$
Total	$