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DiscoveryLand Camp Registration Form 2015

Today's date
Camper's first name


Date of birth
Year of birth
this name(s) will be used on camp receipt
Home phone
Cell phone
Postal code
Select the session
Select you payment plan
 

Notes:

- 'Refer a friend' discount is valid only if both campers register together.

- To get a promo price your payment should be submitted by the end of promo period.

Leadership-in-Action Program Certification (for Teens Club 12-16 years, free) for certification attendance of 2 week-session is required
Leadership-in-Action Program Certification (for Teens Club 12-16 years, free) for certification attendance of 2 week-session is required
 

Notes:

- Introduction to Leadership-in-Action Certification is a first year program.

- Advanced Leadership-in-Action Certification is a second year program. (For those who completed Introduction to Leadership-in-Action)

By SUBMITTING this form I acknowledge that I have carefully read, understood and agree to the DiscoveryLand Camp Terms and Conditions
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