Registration now open for Summer 2019!
Secure Payment Form
(Uses 128 Bit SSL Encryption to protect credit card numbers.)
To make a donation or payment, please complete this form.
(An asterisk * indicates a required field)
1. Payment Type
*This Payment is for:
(ex. camp deposit, camp tuition) IF YOU ARE MAKING A DEPOSIT PLEASE ADD HERE
YOUR CHILD'S NAME AND BIRTHDAY
YOUR CHILD'S SCHOOL (coming school year)
2. Billing Information
First Name* Last Name*
(Please use the address associated with the credit card you will be using.)
City* State* Zip*
Credit Card Number Expires (mm/yy)
5. I understand that this deposit is not refundable, nor will I ask for a refund should I decide to not enroll my child in Chabad Kiddie Camp (Please write name below upon agreement)
7. Make Payment - I understand that I am committing to full payment of the camp tuition.
Please review all of your entries carefully. Once you've done so, click the 'Submit' button.
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