Your Info

Your Name *
Your Email *
Your Phone Number *(This is the phone number we will use to contact you)

Child

Child's name
Gender SelectMaleFemale
Birth date / due date
Additional notes

APPLICATION PAYMENT

Card type SelectVisaMasterCardAmerican Express
Name on card
Card number
Expiry Date (MM/YY)
01 - Janaury02 - February03 - March04 - April05 - May06 - June07 - July08 - August09 - September10 - October11 - November12 - December 20162017201820192020202120222023
Security Code

Amount to be charged: $0.

Please note all Summer Camp application payments are non-refundable.

Submit Application

APPLICATION SUCCESSFUL

Alright, we've got your application. Scratch one thing off your to-do list. Confirmation has been emailed to you and is included at the bottom of this screen for your records.

So what happens next?

Thanks for registering for ABC Club Summer Camp. Talk to you soon.

The Fine Print