Submission Time

Camper First Name

Camper Last Name

Camper birthdate

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

T-shirt size

CourseChoice1

CourseChoice2

Primary Contact Relationship

Primary Contact Name

Primary Contact Email

Primary Contact Phone

Secondary Contact Name

Secondary Contact Email

Secondary Contact Phone

Notes

I would like to include a donation to the scholarship fund with my down payment.

Scholarship donation amount:

Payment Method

Enter total online payment (minimum is $50 for camp down payment). Please be sure to include any scholarship donation amount entered above) then click

Payment ID