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CHILD’S NAME:
GRADE
AGE
T-SHIRT SIZE(s)
Select
Youth small
Youth medium
Youth large
Youth x-large
Adult small
Adult medium
Adult large
Adult x-large
Do you want to add additional campers? ($385 per add’l child))
Yes
No
ADDITIONAL CHILD LIST
ADDITIONAL CHILD
GRADE
AGE
Add
Remove
T-SHIRT SIZE FOR EACH ADDITIONAL CAMPER
T-SHIRT SIZE
Youth small
Youth medium
Youth large
Youth x-large
Adult small
Adult medium
Adult large
Adult x-large
Add
Remove
NUMBER OF ADDITIONAL CHILDREN
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
PARENT’S NAME
EMAIL:
PHONE NUMBER:
Current ACT member:
Yes
No
'' More information will be sent after form and fee are received ''
Do you want to pay in full?
Yes
No (Deposit $100)
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Class Fee (Peter Pan JR.)
Price:
Class Fee ADD'L CHILD (Peter Pan JR.)
Price:
$295.00
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Deposit Amount
Price:
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Apply Coupon Code
Total Fee
Payment Method
*
PayPal
Credit/Debit Card
PayPal Checkout
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
Credit/Debit Card
805-610-7187
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