Preteen Camp at Dry Creek

July 11-14 | Please fill out this form and click submit.

Child's Name

*

Grade Completed (at time of camp)

*

Please select one option.

3rd 4th 5th

TShirt Size

*

Please select all that apply.

Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X Large Adult 2X Large

Parent Info

Parent Name

*

Parent Email

*

This address will receive a confirmation email

Parent Phone

*

Address

*

Payment

Deposit ($50) Full Price ($212) Cash/Scholarship ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

July 11-14

Please fill out this form and click submit.

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