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Parent/Guardian Name*
First Last
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Child's Name*
First Last
If paying for more than 1 girl, please list their full names below.
Enrollments
After School Programming Quantity
Price: $25.00
Spring Break Camp Quantity
Price: $100.00
Summer Camp
Sheroes Weekly (Ages 5-7) Quantity
Price: $100.00
Sheroes Weekly w/ Multiple Camper 10% Discount (Ages 5-7) Quantity
Price: $90.00
Steminists Weekly (Ages 8-9) Quantity
Price: $125.00
Steminist Weekly w/ Multiple Camper 10% Discount (Ages 8-9) Quantity
Price: $112.50
Adventure Camp Weekly (Ages 10+) Quantity
Price: $150.00
Adventure Camp Weekly w/ Multiple Camper 10% Discount (Ages 10+) Quantity
Price: $135.00
Other:
Total
$0.00

Credit Card*

Cardholder Name

Card Details

Enrollments