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Summer Camp Registration
Parent/Guardian Information
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Note: We are offering a shuttle bus service between Madison/Middleton and Mazomanie! Find out more
here
.
Student Information
Registered Students
Name
Age
Camp Week
 
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Total of Number from Child Form
This calculates the number of weeks/students registered in the child forms. The advanced camp counts as 2 weeks.
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Payment
Registration Fee
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Scholarship
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Scholarship Discount
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Scholarship Discount
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Scholarship Discount
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Scholarship Discount
$0.00
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Remaining Balance Due
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Total Due Today
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Price:
$2.00
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Year
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Expiration Date
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Cardholder Name
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Name
*
First
Last
Age
*
Shoe Size
*
Height
*
Food Allergies/Dietary Restrictions
Injuries/Medical Conditions
Medications
Camp Week
*
Register students separately for multiple camp weeks.
Camp One (ages 7-9): June 17-21
Camp Two (ages 7-11): June 24-28
Camp Three (ages 9 and up): July 8-12
Two-Week Advanced Camp (ages 10 and up with prior Wild Rumpus Circus or equivalent experience): July 15-26
Camp Four (ages 7 and up): Aug. 12-16
Weeks Registered
This is used to make the advanced camp worth 2 "credits" towards the multiple student/week registration discount since it's a two week class.
Weeks Registered
This is used to make the regular camp worth 1 "credit" towards the multiple student/week registration discount.
This iframe contains the logic required to handle Ajax powered Gravity Forms.