Student Beach Camp '24
May 27-31, 2024 | Please fill out this form and click submit. Camp total is $335.00, however, payment options are available.
For Beach Camp '24 we will be going at Jekyll Island, GA on May 27-31, 2024.
Student Name
*
Student Cell
Gender
*
Please select one option.
Female
Male
Parent Name
*
Parent Email
*
This address will receive a confirmation email
Parent Cell
*
Address
*
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AK
AL
AP
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AS
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BC
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DC
DE
FL
FM
GA
GU
HI
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ID
IL
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KS
KY
LA
MA
MB
MD
ME
MH
MI
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MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
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OK
ON
OR
PA
PE
PR
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What grade did you just complete
*
Please select all that apply.
7th
8th
9th
10th
11th
12th
Shirt Size
*
Please select all that apply.
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Payment Options:
*
Please select one option.
Payment Plan A: Pay in Full - $335.00 (1 student)
Payment Plan B: 2 equal installments of $167.50 (1 student)
Payment Plan C: 4 equal payments of $83.75 (1 student)
Payment Plan D - 2 Siblings - Pay in Full $620.00
Payment Plan E - 2 Siblings in two equal payments of $310.00
Payment Plan F: 3 Siblings - Pay in Full $930.00
Payment Plan G - 3 siblings in two equal payments of $465.00
Select Option
Payment Plan A: Pay in Full - $335.00 (1 student)
Payment Plan B: 2 equal installments of $167.50 (1 student)
Payment Plan C: 4 equal payments of $83.75 (1 student)
Payment Plan D - 2 Siblings - Pay in Full $620.00
Payment Plan E - 2 Siblings in two equal payments of $310.00
Payment Plan F: 3 Siblings - Pay in Full $930.00
Payment Plan G - 3 siblings in two equal payments of $465.00
If you selected a Payment Plan with the Siblings discount, please fill out a registration form for EACH sibling. For registration purposes, please pay a $50 deposit on each sibilings registration form and you will be emailed a payment link to pay the balance. Please list below the names of the Siblings to link together.
Payment
Payment Plan A $335.00
Payment Plan B $167.50
Payment Plan C $83.75
Payment Plan D $620.00
Payment Plan E $310.00
Payment Plan F $930.00
Payment Plan G $465.00
Payment Deposit $50.00
Custom Amount
Payment Plan A $335.00
Payment Plan B $167.50
Payment Plan C $83.75
Payment Plan D $620.00
Payment Plan E $310.00
Payment Plan F $930.00
Payment Plan G $465.00
Payment Deposit $50.00
Custom Amount
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
May 27-31, 2024
Please fill out this form and click submit. Camp total is $335.00, however, payment options are available.
For Beach Camp '24 we will be going at Jekyll Island, GA on May 27-31, 2024.
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