BUSHIKAN SPRING BREAK CAMP

March 30 ~ April 3, 2026

Parent Name

Parent Last Name

Address

City

State *

Zip Code

Cell Phone #

Work Phone #

Emergency Contact

Emergency Phone #

SPRING BREAK CAMP FEES

Fees are not refundable*

Discount for Siblings - Until March 16, 2026

1st Child $249 * 2nd Child $224 * 3rd Child $199

Discount for Siblings - After March 16, 2026

1st Child $279 * 2nd Child $254 * 3rd Child $229

Number of child

Child Name (Full name)

Age

School *

Camp Fees 1

Illness/Injuries?

Total: $0.00

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