Spring Break Camp 2010

Camper Information:

First Name

Last Name

Middle Initial

Age

Grade

School

Sex Male Female

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Parent/Guardian

Home Phone

Alt/Work Phone

E-mail

Cost

$50 per child
15% discount for PCF Members

Methods of Payment

Check-

Make checks payable to:

Palmetto Conservation Foundation

722 King Street

Columbia, SC 29205

Credit/Debit Card-

By phone: (803)771-0870

Online: Once you submit this registration page, click on the 'Pay Online' button on the Spring Break Camp home page to submit your payment.

Registration and payment must be submitted by the deadlines listed above. Registration will not be complete until payment is received. Additional forms including Waiver of Liability, Medical Information, and Media/Photo Release will be filled out on the first day of camp. A separate registration form must be filled out for each individual child. Click below to submit your registration form.

Palmetto Conservation Foundation
722 King Street

Columbia, SC 29205

First Name
Last Name
Middle Initial
Age
Grade
School
Sex	Male Female

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Parent/Guardian
Home Phone
Alt/Work Phone
E-mail

Spring Break Camp 2010

Palmetto Conservation Foundation722 King Street

Palmetto Conservation Foundation
722 King Street