APPLICATION FOR SLAVIC BAPTIST CHURCH OF HARRISBURG KIDS DAY CAMP

CAMP PRICING

For children of members of Slavic Baptist Church of Harrisburg:
One child: $80
Two: $80+$60 = $140
Three: $80+$60+$40 = $180
*Fourth and above - free*

For other children:
One child: $100
Two: $80+$80 = $160
Three: $80+$80+$40 = $200
*Fourth and above - free*

For children of camp personnel (teachers, helpers, kitchen personnel, ): Free

*Checks can be made payable to: Slavic Baptist Church of Harrisburg

Submitter's name (parent)

First Name

Last Name

Child's name

First Name

Last Name

Child's date of birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact phone number

(###)

###

####

Additional information

Parents, please note any additional information about your child that we should know (allergies, etc.)