GRPC Education Programs:
Camp Guadalupe Payment Form
Please check
the price sheet
before continuing
. We recommend keeping it open while you fill out this form.
Are you members?
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Member Price
Camper Name
Select Your Camp Session
ALL SESSIONS - Do not check any other boxes.
6/13 - 6/17
6/20 - 6/24
6/27 - 7/1
7/6 - 7/9 (3 day session)
7/11 - 7/15
7/18 - 7/22
7/25 - 7/29
8/1 - 8/5
8/8 - 8/12
Amount
$
.00
Non-Member Price
Camper Name
Select Your Camp Session
ALL SESSIONS -
Do not check any other boxes
.
6/13 - 6/17
6/20 - 6/24
6/27 - 7/1
7/6 - 7/9 (3 day session)
7/11 - 7/15
7/18 - 7/22
7/25 - 7/29
8/1 - 8/5
8/8 - 8/12
Amount
$
.00
Household Information
Parent/Guardian #1 Name
Parent/Guardian #2 Name
Street Address
City/Town
State
Please select...
AL
AK
AZ
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MA
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NC
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OR
PA
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SC
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TN
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UT
VT
VA
WA
WV
WI
WY
Zip Code
Disclaimer
I understand that my registration is not complete until I fill in GRPC's 'Family Information Form' which outlines important information such as emergency contacts, allergies, etc.
Payment Information
Your payment will be processed securely through Stripe.
Total Amount Today
$
Name on Card
Card Number
MM
YY
Code
Billing Email
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