EmailMe Form - Auxiliary Camp Registration

Name *

First MI Last

Email *

Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Gender *

Male

Female

Check one

Grade you will be in this upcoming Fall. *

Select one

Age *

Select one

Parent/Guardian Name *

First Last

Parent/Guardian Phone *

### - ### - ####

High School or Organization you represent

Room occupancy

Cost: $240.00
You may pay online. Other payment options are money orders or cashiers check payable to: Upscale Studio, Inc.

Cash and school/organization checks are accepted, however personal checks are not accepted for payment. Deadline is Friday, July 19, 2019.

All fees are non-refundable after July 17, 2019. Requests for refunds made prior to June 17, 2019 will be honored, less a $20.00 administrative fee per person.

Total you're paying *

$ Dollars . Cents

Registration is not complete without payment. For your convenience use the "Pay Now" button below to pay online.