ACME Widgets, LLC

Camper's First and Last Name

Camper's Age

Parent's First and Last Name

Email Address of Camper

Date of Camp

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Space Camp

Remember: You must FIRST reserve your slot on our booking website.
Click here if you haven't done that already!

2 Hour Private Mission:

$120.00

Select:

Item Subtotal:

$0.00

Date of Reservation
Age Range

Number of expected participants (up to 12):

Quantity:

First and Last Name of Participant		[1]
Email Address of Participant	[1]
First and Last Name of Participant		[2]
Email Address of Participant	[2]
First and Last Name of Participant		[3]
Email Address of Participant	[3]
First and Last Name of Participant		[4]
Email Address of Participant	[4]
First and Last Name of Participant		[5]
Email Address of Participant	[5]
First and Last Name of Participant		[6]
Email Address of Participant	[6]
First and Last Name of Participant		[7]
Email Address of Participant	[7]
First and Last Name of Participant		[8]
Email Address of Participant	[8]
First and Last Name of Participant		[9]
Email Address of Participant	[9]
First and Last Name of Participant		[10]
Email Address of Participant	[10]
First and Last Name of Participant		[11]
Email Address of Participant	[11]
First and Last Name of Participant		[12]
Email Address of Participant	[12]

Youth Super Saturday Camp - Ages 10-15

Remember: You must FIRST reserve your slot on our booking website.
Click here if you haven't done that already!

Youth Super Saturday Camp Fee:

$23.00

Select:

Item Subtotal:

$0.00

Junior Super Saturday Camp - Ages 7-9

Remember: You must FIRST reserve your slot on our booking website.
Click here if you haven't done that already!

Junior Super Saturday Camp Fee:

$20.00

Select:

Item Subtotal:

$0.00

Total:

$0.00

Payer's Information

First Name:	Last Name:
Address:
Address:
City:	State/Province:	ZIP/Postal Code:
Phone:
Email:

Payment Information:

Processing Fee Rates:
Cards:	3% plus $0.55 ($1.55 min) (1.5% surcharge for foreign cards)
eCheck:	$0.55

Method of Payment:	Credit/Debit Card eCheck
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