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Camper Name
*
First
Last
Parent E-mail for Receipt
*
Lunch for the week of:
Lunch Choice
Monday - Qdoba (Chicken Quesadilla) -
$9.00
Tuesday - Chick-Fil-A (Nuggets and Fries) -
$9.00
Wednesday - Panda Express (Teriyaki Chicken, Chow Mein, Fruit, Water) -
$9.00
Thursday - Pollo Tropical (Kids Tropichop Bowl: chicken, white rice, black beans and apple juice) -
$9.00
Friday - Papa John's (Cheese Pizza: 2 Slices) -
$5.00
Stripe the Bottle
Water Bottle
TSCA Water Bottle -
$3.00
Total
$0.00
Payment via Stripe
*
Pay Now
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Student Name
*
Student Age
*
--- Select Choice ---
Two
Three
Four
Five
Parent Name
*
First
Last
Relationship to Student
*
--- Select Choice ---
Father
Mother
Guardian
Grandparent
Aunt
Uncle
Sibling
Cousin
Legal Guardian
Foster Parent
Step-Parent
Adoptive Parent
Other
Email
*
Phone Number
Number to Name
Preferred Tour Date & Time
*
Date
Time
How Did You Hear About Us?
*
--- Select Choice ---
Google
Social Media (IG, Facebook, etc)
Word of Mouth
Other Advertisement
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