Park Day Camp payment

If you are already registered, you may make additonal payments toward camp using this form. If you have not yet registered, please use the registration button online or download and mail in the registration form.

We accept MasterCard, Visa, American Express and Discover. You may also choose to withdraw the amount from your checking account.

* Your name

* Child's name

* Amount $

Comments

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total:

For added Security please check the box below.