National Camp Registration (Payment Plan)

2024 Youth Camp

Please fill out the following form to register for Camp via payment plan.
To make subsequent payments, please use the 2nd form on this page.

Camper Name(Required)

First Last

Address(Required)

Must match billing address of credit card

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Camper Cell Phone(Required)

Camper Email Address(Required)

Date of Birth(Required)

Age(Required)

Sex(Required)

Nest Number

District Number

Parent/Guardian Name(Required)

First Last

Emergency Contact Phone Number(Required)

Parent/Guardian Email Address(Required)

T-Shirt Size(Required)

Please Select:(Required)

PFA Member Camper

Non-Member Camper

Organization Name (if applicable for Non-Member)

Payment Amount(Required)

Please enter the amount you wish to pay. Total cost for Member Campers is $275 and Non-Member Campers is $300. Please keep a record of your payments.

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Form for Subsequent Payments

Please use this form to make subsequent payments after you have registered.

Camper Name(Required)

First Last

Address(Required)

Must match billing address of credit card

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian Name(Required)

First Last

Parent/Guardian Phone Number(Required)

Parent/Guardian Email Address(Required)

Payment Amount(Required)

Please enter the amount you wish to pay. Total cost for Member Campers is $275 and Non-Member Campers is $300. Please keep a record of your payments.

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

National Headquarters

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