Whispering Winds Kids' Camp Registration Form
To view the complete Whispering Winds Kids' Camp Flyer - Click Here
 
Parent 1First / Last Name
Parent 2First / Last Name
Address  
City  
State ZIP  
Primary Phone / Secondary Phone
Email  
Emergency Contact / Phone #
Parish  
     
Child 1 First / Last Name
Fall 2010 Grade Level  
Date of Birth (MM/DD/YYYY) Gender: Male Female
     
Select Camps for Child 1    
Week of June 28 - July 2 Actual Cost - $415 per child
Shirt Size: Partially Subsidized - $375 per child
  Fully Subsidized - $330 per child
  Add Horseback Riding $55 (Optional and space is limited)
   
Week of July 18 - July 22 Actual Cost - $415 per child
Shirt Size: Partially Subsidized - $375 per child
  Fully Subsidized - $330 per child
  Add Horseback Riding $55 (Optional and space is limited)
   
Child 2 First / Last Name
Fall 2010 Grade Level  
Date of Birth (MM/DD/YYYY) Gender: Male Female
     
Select Camps for Child 2    
Week of June 28 - July 2 Actual Cost - $415 per child
Shirt Size: Partially Subsidized - $375 per child
  Fully Subsidized - $330 per child
  Add Horseback Riding $55 (Optional and space is limited)
   
Week of July 18 - July 22 Actual Cost - $415 per child
Shirt Size: Partially Subsidized - $375 per child
  Fully Subsidized - $330 per child
  Add Horseback Riding $55 (Optional and space is limited)
   
Child 3 First / Last Name
Fall 2010 Grade Level  
Date of Birth (MM/DD/YYYY) Gender: Male Female
     
Select Camps for Child 3    
Week of June 28 - July 2 Actual Cost - $415 per child
Shirt Size: Partially Subsidized - $375 per child
  Fully Subsidized - $330 per child
  Add Horseback Riding $55 (Optional and space is limited)
   
Week of July 18 - July 22 Actual Cost - $415 per child
Shirt Size: Partially Subsidized - $375 per child
  Fully Subsidized - $330 per child
  Add Horseback Riding $55 (Optional and space is limited)
   
   
(Optional) Give the Gift of Camp! Support our Scholarship fund:
   
  Full Scholarship $160
  Partial Scholarship $80
  Other Amount $
 

Payment Type:
Make Full Payment Now
Please process my payment in monthly installments. I would like my first installment to be deducted now, and future payments withdrawals on the day of the month
Deposit 100 now and balance on
Total Amount :
$0.00
 
 

Questions or comments?
Please contact our business office at 619-464-1479 or email office@whisperingwinds.org.

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