Spring Break Camp Registration | nrhcentre

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2021 SPRING BREAK

REGISTRATION FORM

If registering more than one child, you will need to submit a separate form for each child

CONTACT INFO

Parent First & Last Name

Child's First & Last Name

Parent Birthdate (numbers only)

Child's Birthdate (numbers only)

Parent Email

Contact Phone

Parent Address

City

Zip Code

WEEKLY REGISTRATION

Spring Break Camp is $150 and will processed at the time of registration

Spring Break Camp 2021

Spring Break: March 15-19

PAYMENT INFO

The information below will be used to set up automatic payments for 2021 Camp NRH fees.

Name on Credit Card

Card Number

Expiration Date

CSC:

I understand FULL PAYMENT will be processed at time of registration

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