Summer Camp 2022 Enjoy summer fun at Northstar School’s new summer camp! Set at Northstar’s beautiful campus with park/lake next door, all classroom and outdoor activities will be led by Northstar’s seasoned staff. STUDENT INFO* First Name Last Name Student Grade (for upcoming year)*--Select a grade--Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeDate of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Any allergies? Please list below.Session Choice*Please confirm you are enrolling for: Session - Theme: "Nature & Nurture" | July 4 - July 21 Cost:* One session - $350 Parent Info and PaymentPARENT/GUARDIAN INFO* First Name Last Name Phone*Email* Additional Emergency Contact* First Name Last Name Additional Emergency Contact Phone*I give permission for my child(ren) to walk to the adjacent regional park, Don Castro, during the course of this summer camp.Signature*PAYMENT INFORMATION* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Security Code Cardholder Name Billing Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code REGISTRATION PAYMENT CONFIRMATION $0.00 * Click "Submit" to submit your payment and finalize your registration.
