Camp Academia Registration


Camp Academia

Registration Fees

Select one of the following options:


A - $400 per Student without Before and After Care
B - $450 per Student with only Before Care
C - $450 per Student with only After Care
D - $500 per Student with both Before and After Care

Child's Name

Age

Gender

Date of Birth

Current Grade Level (2010-2011)

Address

Parents/Guardians

Primary Email

Alternate Email (if any)

Emergency Contact Name

Emergency Contact Number


Make check or money order payable to the First Baptist Church of Vienna and mail or bring payment to the church office, to the attention of Rev. Maurice Maxwell. Thank you!