Youth Camp Partial Payment

Camp Dates:
June 10-13

Camp Cost:
$250

If you have not filled out a Registration Form and submitted your registration fee, please use that form. This is for partial payments for students who are making split payments.

Student Information

Student Full Name

Parent Guardian Information

Parent/Guardian Name

This address will receive a confirmation email

Payment

Enter the amount you wish to pay and fill in card information.

Payment Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

June 10 - June 13

Registration Deadline: May 10

Final Payment Due: June 1

Youth Camp Partial Payment

Description

Please Fix the Following