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Mail-In Registration
CAMPER REGISTRATION
CAMPER INFO
PAYMENT METHODS
First Name
(select below)
Last Name
Pay Online (with Credit Card)
Age
Pay by Mail (with Check/Money Order)
Grade Lvl
(Fall 2014)
If paying by mail:
Please send
$30 Materials Fee (NO CASH)
in form of Check or Money Order
made payable to:
CCOD c/o Summer Arts Camp
5301 Free Pike
Trotwood, OH 45426
Male / Female
Street Address
City
State
Zip Code
Home Phone #
(xxx)123-4567
E-Mail
PARENT/ GURARDIAN INFO
First/Last Name
Cell Phone #
Home Phone #
Relationship