CentriKid 2026
June 20-22 |
Child's Name
*
Date of Birth
*
2025/2026 Grade
*
Please select one option.
2nd
3rd
4th
5th
Select Option
2nd
3rd
4th
5th
Guardian Information
Guardian Name
*
Phone
*
Payment
Deposite ($75)
Other
Deposite ($75)
Other
Amount
I would like to help pay for another child to go to camp
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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Description
June 20-22
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