IRBC Camp Registration

Please fill out this form and click submit.
Camp registration is $25, Online convenience fee is $1.

Warning!

This form cannot be submitted until an administrator completes the setup process to receive online payments.

Name

*

Child's first and last name

*

Camp attending summer 2018

*

Please select one option.

Jr. Boys Jr. Girls Jr. High Sr. High

Grade completed 2017-18

*

Please select one option.

3 4 5 6 7 8 9 10 11 12

Email

*

This address will receive a confirmation email

Phone

*

Address

*

online registration fee $26.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.
Camp registration is $25, Online convenience fee is $1.

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