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Adventurer's name
*
First
Last
Adventurer's date of birth
*
Parent/Guardian Name
*
First
Last
Parent/Guardian Agreement Adventurer's
What class is the Adventurer in?
*
Parent/Guardian Email
*
Parent/Guardian Phone
*
I agree to the following camp charges
*
1st Child – $14.00
2nd Child – $14.00
3rd Child- $14.00
4th Child- $14.00
Adult – $26.00
Adult – $26.00
Permission & Agreement
*
I agree and give my permission
I give the adventurer stated here permission to attend this camp pursuant to all the terms and regulations that apply.
Stripe Credit Card
*
Email
*
Submit
