Winter Camp Register Form

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Agreement*

I am signing up my child for Chai Tots Winter Camp January 23-27 2023. The tuition is non refundable & non transferable.
Should be Empty:

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1. Child/ren’s Information