Camp Universal - June 16-20, 2025

Please fill out this form and click submit.*

*Deposits are due February 23rd and are nonrefundable.
Final payment is due May 4th.

Name

*

Gender

*

Please select all that apply.

Male Female

Current Grade

*

Rollercoaster Experience & Likeability

*

Please select one option.

Thrill seeker Middle of the road No thank you!

Add'l Information we need to know ie. motion sickness, not fond of any spinning rides

*

Allergies

*

Parent/Guardian Name

*

Parent/Guardian Email

*

This address will receive a confirmation email

Parent/Guardian Phone

*

Address

*

If not parent named above, Emergency Contact Name

If not parent named above, Emergency Contact Number

Payment Options:

Deposit (150) Balance (450) Cash/Check (0) Pay Later (0) Full Amount (600)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.*

*Deposits are due February 23rd and are nonrefundable.
Final payment is due May 4th.

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