Pondo Winter Camp 2022 Registration Form
Please fill out this form and click submit.
Pondo Winter Camp - Feb 18-20, 2022
Please fill out the following form to complete registration for your student. If you are registering more than one student,
please fill out one form per child
.
If you have not filled out a CSM parent waiver yet, you will need to do so before your student leaves for camp. You can find one
HERE.
You can find a recommended packing list
HERE.
Winter Camp this year is $225 per student. You can choose to pay the $100 deposit to reserve a spot for your student, then revisit this form to make your final payment(s), or you can simply bypass the deposit and choose to pay in full below.
(Please note that upon completing this registration with your deposit, you are consenting to pay the total amount of $225 in full by February 18th, 2022.)
Student Name
*
Student Age & Grade
*
Parent/Guardian Email
*
This address will receive a confirmation email
Parent Phone
*
Home Address
*
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Payment (Non-Refundable)
Deposit ($100)
Pay in Full ($225)
Other Amount
Deposit ($100)
Pay in Full ($225)
Other Amount
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Please fill out this form and click submit.
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