St. Monica Summer Camp Payment Form

Please register each child separately.

Qty
Description
Amount
Total

$200.00
---

$200.00
---

$200.00
---

$200.00
---

$200.00
---

$200.00
---
Total: $0.00
Future Commitment: $0.00
Student Information
Payment Details
This is the address where your credit card statements are mailed.
A receipt will be emailed to this address.
Your Payment Information

VisaMasterCardAmerican ExpressDiscoverJCB

eCheck

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