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Wizard of Oz
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" indicates required fields
DO YOU WANT TO PAY IN FULL?
*
YES ($395)
NO ($75 REGISTRATION FEE)
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?
*
Yes
No
DO YOU WANT TO PAY IN FULL?
*
YES ($385 each)
NO ($75 REGISTRATION FEE)
ADDITIONAL CHILD LIST
ADDITIONAL CHILD
GRADE
AGE
Add
Remove
ListT-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 CAMPERS
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 ''
Wizard of Oz $75 Registration Fee
Price:
Wizard of Oz $75 Registration Fee for Additional Camper
Price:
Class Fee (Wizard of Oz)
Price:
Class Fee for ADD'L CHILD (Wizard of Oz)
Price:
$295.00
Coupon
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
Total Class Fee
805-610-7187
applausect@gmail.com