• Kingdom Collegiate Academies/
• FCA Summer Camp Reg 993 48210

First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Email:
Payee:	Kingdom Collegiate Academies
Description:	Registration Fee is $68.00 per camper. Grades 1 - 8 (completed Kdg). Time: 7:00 am - 6:00 pm. Breakfast and lunch provided. Include your child's name in the memo line.
Memo:

Amount	01234567
Tax
Total