St. Monica Catholic School

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

St. Monica Summer Camp Payment Form

Please register each child separately.

Qty

Description

Amount

Total

4th Grade Summer Reading

$200.00

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5th Grade Summer Reading

$200.00

---

Crafts & Stories Summer Camp

$200.00

---

Culinary Camp

$200.00

---

FIRST LEGO League Summer Camp

$200.00

---

Fly Into 1st Grade

$200.00

---

Jump Into Kindergarten

$200.00

---

Middle School Summer Reading

$200.00

---

Pop Stars & Play Makers

$200.00

---

Science Exploration Camp

$200.00

---

Step Up To 2nd Grade

$200.00

---

Welcome to 3rd Grade

$200.00

---

Total: $0.00

Student Information

Student First Name: *

Student Last Name: *

Grade Level: *

Payment Details

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

Email: *

A receipt will be emailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *