Camp Endres Family Camp Camp Endres Family Camp 2020 Registration Info You can pay the normal (subsidized) amount, or cover the actual cost per camper, or make a partial payment (minimum $25), or request a scholarship.Pay $25 registration fee and pay the remaining balance later*No charge for ages 2 and under. Price: $25.00 Quantity: Pay $25 registration fee and apply for a scholarship*No charge for ages 2 and under. Price: $25.00 Quantity: Pay the camper fee for ages 6 and up – amount charged per camper*No charge for ages 2 and under. Price: $130.00 Quantity: Pay the camper fee for ages 3-6 – amount charged per camper*No charge for ages 2 and under. Price: $70.00 Quantity: Pay the actual camper cost – how much DSOK must raise to pay for each camper*No charge for ages 2 and under. Price: $180.00 Quantity: PriceWould you also like to make a donation? Enter an amount below. Total $0.00 Camper InfoFamily Camp Attendees*DOB= Please list date of birth for all children, not parents. T1D= Please identify which family member has type 1 diabetes Family Member (1, 2, 3, etc.)First NameLast NameT-Shirt SizeDOBT1D Family Camp Attendees*DOB= Please list date of birth for all children, not parents T1D= Please identify which family member has type 1 diabetes Family Member (1, 2, 3, etc.)First NameLast NameT-Shirt SizeDOBT1D Parent/Guardian InfoYour Name* First Last Your Phone*Your Email* Payment InfoBilling Address*Please enter the billing address for the credit card. Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name
