Neighborhood Day Camp - Balance Due

PLEASE NOTE!! This is not a registration form. Use this link ONLY to pay your final balance if you have previously registered your child in the main camp registration.

Not sure? Stop! Call Susie at 714.550.2337 to verify we have received your registration!

Registration Information

Camper First & Last Name

Gender

Male
Female

Date of Birth

Grade (in the fall of 2018)

Parent Names - First & Last

Parent Cell Phone

Parent Email Address

Confirm Parent Email Address

Address

Registration Options

Balance Due ($150.00)
Balance Due ($175.00)

Coupon Code

Running Total

$150.00

Total

$150.00

Please contact Susie in the Children's Ministries Office with any questions or concerns

(714) 550-2337 or [email protected]

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

Phone Number

This page is secured with 256 bit encryption

Event Registration Software by RegFox