Youth Camp - 2021
July 26th - 31st | Please fill out this form and click submit.
Parent Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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Camper Name
*
What grade in school did you just complete?
Please select all that apply.
6th
7th
8th
9th
10th
11th
12th
I need a scholarship so my child can attend.
Please select all that apply.
Full Scholarship ($145)
Partial Scholarship of ($73)
A parent meeting will be held prior to camp. This meeting must be attended so you can complete forms and get important departure details.
Youth Camp Payment
0
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
July 26th - 31st
Please fill out this form and click submit.
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