STA Summer Registration -

STA SUMMER CAMPS

Summer Camps Registration Form

Phone

This field is for validation purposes and should be left unchanged.

Child's Name(Required)

First Last

Grade - Age(Required)

Parent's Name(Required)

First Last

Email(Required)

Yes

Phone(Required)

Student Pick Up Instructions(Required)

Are there any allergies or other conditions we should be aware of? (If none exist, please answer No.)

Select Camp Date(Required)

Camp Type(Required)

Full Day 9:30 to 3:30 - $1.00

Morning 9:30 to 12:00 $350.00

Afternoon 1:00 to 3:30 $350.00

Total

Payment Method (Select from Dropdown)

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name