2011 Summer Camp/Enrichment Mail in Registration
 
Camper First Name: 
* Camper Last Name: 
Grade Attending Next September 
 
* Address: 
* City: 
  State: 
  ZIP: (Last 4 digits optional)  - 
Country (if not USA):
 
* Phone:    
 Fax:    
Preferred Email
 
Parent Name:   
Course/Camp #

Course/Camp Name

Amount

 

Total Due

Method of Payment

       Cash/Check   Credit Card  | Circle One:  Visa/Mastercard

Card Number __________________  Exp.Date__________

Cardholder Name:_________________________________ 

Cardholder’s Signature:_________________________________

R       Courses are filled on a first come basis.  Courses without minimum enrollment will not be offered. 

R       Each Enrichment course is $290 includes lunch unless otherwise noted.

R       Full tuition payment is due at the time of registration.

R       Checks are made payable to The Academy of the Holy Cross.  There is a $25 fee for returned checks.  Visa and MasterCard are accepted.  Online through Paypal is also available. 

 

 

Print this form and mail with your payment to
4920 Strathmore Avenue, Kensington, MD 20895 - (301) 942-2100.

Checks payable to The Academy of the Holy Cross.

    There is a $25 fee for returned checks.

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