Adult's First Name Adult's Last Name Early Bird Registration (Prior to May 31)Pick one option from the list below (costs are calculated per the chart above) 1 Child, $125 2 Children, $150 3 Children, $175 4 Children, $175 5 Children, $175 Regular Registration (After May 31)Pick one option from the list below (costs are calculated per the chart above) 1 Child, $150 2 Children, $175 3 Children, $200 4 Children, $200 5 Children, $200 Extended Care QuantityEnter number of children requiring extended care. Price is per child for the entire week Price: $25.00 Quantity Alternate PaymentEnter amount of your alternate payment (remaining balance will be your requested scholarship amount) Total Amount Due $0.00 Payment Method*Check your preferred payment method - If paying with cash or check, print this page and include with payment - If credit card is chosen you will be directed to PayPal for payment processing - If Realm is chosen, log into your Realm account (https://onrealm.org/uurochmn Cash Check Credit Card Realm
