SUMMER CAMP REGISTRATION:
Student's Name:
Age:
Birthday (00-00-0000):
Sex:

PLEASE CHECK ALL THAT APPLY:

Session 1 ($450.00):         Session 2 ($430.00):         Session 3 ($450.00): 
Session 4 ($450.00):         Session 5 ($450.00): 

$25.00 discount for each additional session.  Applies to members of the same family only.
Donation to Scholarship Fund (tax deductible): $