Camp Sooner 2021 - High School
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Warning!
This form cannot be submitted until an administrator completes the setup process to receive online payments.
Name
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Father
*
Mother
*
Parent Phone
*
Email
*
This address will receive a confirmation email
Biological Sex
*
Please select one option.
Male
Femaie
Grade Entering
*
Please select one option.
9
10
11
12
Graduate
Select Option
9
10
11
12
Graduate
T-Shirt Size
*
Please select one option.
S
M
L
XL
XXL
Select Option
S
M
L
XL
XXL
Insurance Information
Health Insurance Company
*
Policy Holder
*
Policy/ID #
*
Group #
*
Health concerns, illnesses, or injuries to be aware of?
*
List any medication to be taken at camp.
*
Camper/Parent Agreement
I understand that Camp Sooner will not be responsible for any accident that might befall my child which is caused by his/her disobedience or negligence. We have read the camp information sheet and understand what my child is not to bring to camp. I agree that modesty will prevail in all matters and will send appropriate clothing for my child. We understand that any damage or vandalism to camp property by my child will be repaired at my expense. My child will not leave camp facilities without first getting approval from the camp dean. My child has permission to engage in swimming activities. I authorize treatment for my child while at camp by any doctor, nurse, or hospital as deemed necessary by camp authorities. This includes, but is not limited to giving common medicines. I certify that my child is in good physical condition and is able to participate in all camp activities.
*
Please select one option.
I agree
Payment
Pick the amount you want to pay.
Monthly- receive follow up emails and texts each month until the full amount has been paid.
Other - pay however much you can at this time and we will follow up with you for how and when you want to pay the rest.
Payment
Just Camp ($100.00)
Camp & CIY ($300)
Monthly (Camp) ($10)
Monthly (Camp & CIY ($30)
Cash/Check ($0)
Other
Just Camp ($100.00)
Camp & CIY ($300)
Monthly (Camp) ($10)
Monthly (Camp & CIY ($30)
Cash/Check ($0)
Other
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
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