• Holy Cross Lutheran Academy/
• 2021 Summer Camp Fee

First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Email:
Payee:	Holy Cross Lutheran Academy
Description:	Utilize this to make payment for Crusader Summer Camps. Payment should only be made when registration form is completed. Please include your child's name in the memo. Your amount paid should equal the total amount for the camps you registered for. If you need to register for another camp at a later date, please fill out another registration form.
Memo:

Amount	01234
Tax
Total