CAMP SCATICO

     2018 1-Week Camper Enrollment Form

(for 7, 8 and 9-year-olds)

Camper's Name *
Camper's Name
Date of Birth *
Date of Birth
Another Home Address
Emergency Contact Information
Payment Options (Please select ONLY one)
1) Pay By Mail
2) Pay By Electronic Check
3) Pay By Credit Card
Signature
Payment Method Confirmation *
Provided Information *

Please note: If you selected Payment Option 3 (Pay by Credit Card) after submitting the Registration Form continue to "Pay By Credit Card Now" button below.