Summer Camp | MAS Bay Area

July 16-20 | 11:00 AM – 5:00 PM

Program Includes:

Registration*
How many children are you registering?
Child 1's Information
Name*
First Last
Gender*
- Male
- Female
Age
The camp is geared towards youth between 6 and 12 years of age. How old is this child?
Date of Birth (DOB)*

*mm/dd/yyyy
T-Shirt Size*
Child 2's Information
Name*
First Last
Gender*
- Male
- Female
Age
The camp is geared towards youth between 6 and 10 years of age. How old is this child?
Date of Birth (DOB)*

*mm/dd/yyyy
T-Shirt Size*
Child 3's Information
Name*
First Last
Gender*
- Male
- Female
Age
The camp is geared towards youth between 6 and 10 years of age. How old is this child?
Date of Birth (DOB)*

*mm/dd/yyyy
T-Shirt Size*
Your Information
Name
First Last
Relationship to Child(ren)
- Mother
- Father
Email
Address*
Street Address City State ZIP Code
Primary Phone*
Secondary Phone*
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

2116 Walsh Avenue
Suite B
Santa Clara, CA 95050
(408) 657-8627

MAS Bay Area is a 501(c)(3) Organization (Tax ID# 20-5595580) | All Donations are Tax-Deductible

Child 1's Information