Registration
Presidents' Day Camp! The kids have a lot of FUN while participating in gymnastic-based FITNESS and STEM scholastics by Code-Play-Learn. It's a win-win for the body and brain! 9 am - 4 pm..... Non-Members: $120..... Members: $100..... FULL DAY, no prorating.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Click to Enter an International Number Cell #: Click to Enter an International Number Work #: Click to Enter an International Number
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
(Not Contact #1 or #2)
 
 
Students entered below will be added to your family's account
 
Questions/Options:
I am a current C.I.T.Y. Club member and my member discount will be taken prior to processing the credit card*
 
Additional Information:
 
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*