UUSD Still Water Camp 2025 - Payment Form

Child's Name:

Additional Child/Children Name(s) (if applicable)

Parent Name(s):

Parent Email

This address will receive a confirmation email

Parent Phone

Payment Information

Registration Cost Per Child

First child - $125
Additional child/children - $75 each

Registration Payment (enter total amount below)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

August 19-21, 2025

Please fill out this registration payment form and click submit.