University of St. Francis

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Choose your camp

For camp descriptions please visit https://stfrancis.edu/esports/

Qty

Description

Amount

Total

Middle School (7-8 grade) Esports STEM Camp - June 9 -12 9:00am to 4:00pm

$295.00

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(per student)

Discount Code

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Total: $0.00

Student Information

Student First Name: *

Student Last Name: *

Student Nickname:

Student's Current School *

Student Grade: *

Student Birthdate: *

Does your student have any allergies, medical conditions, or unique needs we should be aware of?

Parent / Guardian Information

Parent/Guardian #1 Name: *

Parent/Guardian Address: *

Address 2:

City: *

State: *

Zip Code: *

Email: *

Phone: *

Additional Information

Emergency Contact Name: *

Emergency Contact Phone: *

Dietary Restrictions *

I understand that University St. Francis does not provide snacks or lunches due to dietary and allergy restrictions, and I will be responsible for providing snacks and lunches for my student

Waivers *

I read and agree to the terms set forth in the Esports Waivers and Policies

Link to Esports Waivers & Policies

Payment Information

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: *

(xxx-xxx-xxxx)

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: *