Participant Information
Fill in information for each participant – please print . Camps costing $ 200 or more are eligible for the Payment Plan option as described on page 3 . Beginning March 15 , fees must be paid in full . Camps costing $ 199 or less must be paid in full . Summer clinics / programs must be paid for in full when registering .
Register before March 15 and pay the deposit to be automatically enrolled in a monthly payment plan . Payments are equally distributed and changed to the designated credit card the 2nd of every month for the next three consecutive months . Enter totals for each participant in Section 2 ( Camp & Program Totals ) on the previous page .
Payment Plan deposit amounts :
$ 75 per section per camper for camps costing $ 200 or more $ 25 per section per camper for REGISTER BY THE WEEK DAY CAMPS ( Playtime Pals , Sun Troopers and Fun Quest ).
Participant # 1
First & Last Name ___________________________________________________ Gender ______________ Birthdate __________________________ Grade on 1 / 2024 __________
Activity # Camp / Program Name Fee Deposit Balance Due
CAMP AND PROGRAM TOTALS ( transfer amounts to previous page )
In accordance with the Americans with Disabilities Act , describe any accommodation needed for your enjoyment of this program : _____________________________________________________________________________________________________________________________________________________ p Check to indicate participant requires assistance from NSSRA .
Participant # 2
First & Last Name ___________________________________________________ Gender ______________ Birthdate __________________________ Grade on 1 / 2024 __________
Activity # Camp / Program Name Fee Deposit Balance Due
CAMP AND PROGRAM TOTALS ( transfer amounts to previous page )
In accordance with the Americans with Disabilities Act , describe any accommodation needed for your enjoyment of this program : _____________________________________________________________________________________________________________________________________________________ p Check to indicate participant requires assistance from NSSRA .