Summer Camp Registration – Long Lines Climbing

Select Camp Dates(Required)

Select all desired camp dates. Registration fee of $50 per day per child.

Thursday, August 10th

Camper #1 Name(Required)

First

Last

Camper #1 Age(Required)

Please enter a number from 6 to 14.

Do you want to register additional campers?(Required)

Select Camp Dates - Camper #2(Required)

Select all desired camp dates. Registration fee of $50 per day per child.

Thursday, August 10th

Camper #2 Name(Required)

First

Last

Camper #2 Age(Required)

Please enter a number from 6 to 14.

Select Camp Dates - Camper #3(Required)

Select all desired camp dates. Registration fee of $50 per day per child.

Thursday, August 10th

Camper #3 Name(Required)

First

Last

Camper #3 Age(Required)

Please enter a number from 6 to 14.

Select Camp Dates - Camper #4(Required)

Select all desired camp dates. Registration fee of $50 per day per child.

Thursday, August 10th

Camper #4 Name(Required)

First

Last

Camper #4 Age(Required)

Please enter a number from 6 to 14.

Parent Email(Required)

Parent Phone(Required)

Address(Required)

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Total

Payment Information(Required)

Card Details

Cardholder Name