RIFA - Online Secure Ordering Form

	Camper's Name:
	Parent/Guardian Name:
	Last Name:
	Address:

	City:
	State/Province:
	Zip Code:
	Parent/Guardian Phone:
	Email:

	Equipment:		Available for $45 for the week, payable by cash or check at time of Camp Check-In.

	Payment Method:		All online payments are handled through PayPal - NO ACCOUNT REQUIRED.
	Camp You'd Like to Attend: (1/2-Day. Full-Day, Flag, High School):

	Additional Camper Information:
	Age when camp begins:
	Grade in September:
	School or Team affiliated with:
	How did you hear about the camp?:
	If from a friend, please give us your friend's name so we can thank them:
	If from newspaper or magazine, which one?:
	If online, from what web site?:

	Comments: