form testing

Parent/Guardian Information
Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How Many Kids Would You Like To Register?*
Child #1
Child's Name*
Child's Birthdate*
MM slash DD slash YYYY
Is Child #1 a Member or Non-member?*
- Member
- Non-Member
Child #1 Camp Selection (Member Pricing)
How Many PD Camps Will This Child Attend? (Member)*
Multi Class Discount: Book 4 and get the 5th 50% off
[Child 1] Camp #1 Choice:*
[Child 1] Camp #2 Choice:*
[Child 1] Camp #3 Choice:*
[Child 1] Camp #4 Choice:*
[Child 1] Camp #5 Choice:*
[Child 1] Camp #6 Choice:*
[Child 1] Camp #7 Choice:*
[Child 1] Camp #8 Choice:*
[Child 1] Camp #9 Choice:*
Child #1 Camp Selection (Non-Member Pricing)
How Many PD Camps Will This Child Attend? (Non-Member)*
Multi Class Discount: Book 4 and get the 5th 50% off
[Child 1] Camp #1 Choice:*
[Child 1] Camp #2 Choice:*
[Child 1] Camp #3 Choice:*
[Child 1] Camp #4 Choice:*
[Child 1] Camp #5 Choice:*
[Child 1] Camp #6 Choice:*
[Child 1] Camp #7 Choice:*
[Child 1] Camp #8 Choice:*
[Child 1] Camp #9 Choice:*
Child #2
Child #2 Name*
Child's Birthdate*
MM slash DD slash YYYY
Is Child #2 a Member or Non-member?*
- Member
- Non-Member
Child #2 Camp Selection (Member Pricing)
How Many PD Camps Will Child #2 Attend? (Member)*
Multi Class Discount: Book 4 and get the 5th 50% off
[Child 2] Camp #1 Choice:*
[Child 2] Camp #2 Choice:*
[Child 2] Camp #3 Choice:*
[Child 2] Camp #4 Choice:*
[Child 2] Camp #5 Choice:*
[Child 2] Camp #6 Choice:*
[Child 2] Camp #7 Choice:*
[Child 2] Camp #8 Choice:*
[Child 2] Camp #9 Choice:*
Child #2 Camp Selection (Non-Member Pricing)
How Many PD Camps Will Child #2 Attend? (Non-Member)*
Multi Class Discount: Book 4 and get the 5th 50% off
[Child 2] Camp #1 Choice:*
[Child 2] Camp #2 Choice:*
[Child 2] Camp #3 Choice:*
[Child 2] Camp #4 Choice:*
[Child 2] Camp #5 Choice:*
[Child 2] Camp #6 Choice:*
[Child 2] Camp #7 Choice:*
[Child 2] Camp #8 Choice:*
[Child 2] Camp #9 Choice:*
Child #3
Child #3 Name*
Child's Birthdate*
MM slash DD slash YYYY
Is Child #3 a Member or Non-member?*
- Member
- Non-Member
Child #3 Camp Selection (Member Pricing)
How Many PD Camps Will Child #3 Attend? (Member)*
Multi Child Discount: 3rd child enrolled is 50% off
[Child 3] Camp #1 Choice:*
[Child 3] Camp #2 Choice:*
[Child 3] Camp #3 Choice:*
[Child 3] Camp #4 Choice:*
[Child 3] Camp #5 Choice:*
[Child 3] Camp #6 Choice:*
[Child 3] Camp #7 Choice:*
[Child 3] Camp #8 Choice:*
[Child 3] Camp #9 Choice:*
Child #3 Camp Selection (Non-Member Pricing)
How Many PD Camps Will Child #3 Attend? (Non-Member)*
Multi Child Discount: 3rd child enrolled is 50% off
[Child 3] Camp #1 Choice:*
[Child 3] Camp #2 Choice:*
[Child 3] Camp #3 Choice:*
[Child 3] Camp #4 Choice:*
[Child 3] Camp #5 Choice:*
[Child 3] Camp #6 Choice:*
[Child 3] Camp #7 Choice:*
[Child 3] Camp #8 Choice:*
[Child 3] Camp #9 Choice:*
Payment Information
Child #1 Total*
Child #2 Total*
Child #3 Total*
HST*
Price: $ 0.00 CAD
Total
$ 0.00 CAD
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Parent/Guardian Information

Child #1

Child #1 Camp Selection (Member Pricing)

Child #1 Camp Selection (Non-Member Pricing)

Child #2

Child #2 Camp Selection (Member Pricing)

Child #2 Camp Selection (Non-Member Pricing)

Child #3

Child #3 Camp Selection (Member Pricing)

Child #3 Camp Selection (Non-Member Pricing)

Payment Information