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 14, 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 14 and pay the deposit to be automatically enrolled in a monthly payment plan. Three installment payments will be automatically charged to your credit card on the following dates: March 16, April 16, and May 16. 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 Entering Fall 2026 _________
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 Entering Fall 2026 _________
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.