Online SCA Winter Academy, Windsor

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Camper/Parent Information

 

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  (all UPPER case)
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Amount Sessions
1 day per week $50, Tuesday only, 5:00pm - 6:30pm, January 19 - March 11, 2010
1 day per week $50, Thursday only, 5:00pm - 6:30pm, January 19 - March 11, 2010
2 days per week, $80.00 Tuesday and Thursday, 5:00pm - 6:30pm, January 19 - March 11, 2010
 
   

T-shirts size:

 

Camper Name:  

 

Street  

 

City:  

 

State:  

 

Zip  

 

Parent Name:  

 

Phone: (Daytime):  

 

Phone (Evening):  

 

Emergency   Phone:  

 

Date of Birth:  

 

Gender:  

 

Email Address:  

 

Payment   Information:  

 

Comments:

 
Credit Card Payment - Due to security purposes, we will call you for your credit card information.

Check Payment - Please Mail Check to:
SCA - Winter Camps
P.O. Box 905
Petaluma, CA 94953
Make checks payable to SCA

Check Number:  

 
 

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