Summer Camp Payment

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Please input your child(ren)'s name(s) and their grade here (ex: Jeff-4th grade)(Required)

How much will you be paying for the Summer Camp(Required)

If you would like to pay the 3.5% credit card processing fees please click YES below

YES

CC processing fees

Price: $0.00

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Total

Donate Here