AMT Online Payment
Appointment Date/Time*
Payment Form
Name*
E-Mail:*
Valid e-mail is required
Camp Fees
Camper
Camper (Girls entering 1st-6th grade)
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Camper Name(s)*
Please enter each camper.
PA/CIT/CIT2
PA/CIT/CIT2 (Trained PAIT, entering 8th grade)
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PA/CIT/CIT2 Name(s)*
Please enter each name
PAIT
(training at camp)
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PAIT Name(s)*
Please enter each name
Tagalongs
Tagalongs (age 3-5) , including boys
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Tagalongs Name(s)*
Please enter each name
Boys
Boys (age 6-12)
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Boys Name(s)*
Please enter each name
VAIT/VA
VAIT/VA (boys entering 7th grade and older)
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VAIT/VA Name(s)*
Please enter each name
Bus Rider(s)
Transportation Available either from beaverton or hillsboro pick up locations
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Other Items
List Camper Name(s)
Please enter each camper.
Girl Scout Membership*
- Choose -
All campers* are currently registered with Girl Scouts of America
One or more needs to register with Girl Scouts of America
If one or more of your campers isn`t already registered with Girl Scouts of America, it`s your responsibility to register BEFORE camp begins. On the thank you page for this form, we will provide links for registering.
*Only if your camper is NOT a registered Girl Scout and does not apply to Tagalongs, Boys, VAs or VAITs
AMT Campership Fund (optional): Funds used for girls attending AMT Day Camp who need financial assistance
Please choose
Choose Please choose
- $1.00
- $5.00
- $10.00
- $20.00
- $50.00
-No thank you $0.00
Sub-Total
Sub-Total:
Credits & Discounts
If you are using Cookie Credits, please pay the full amount and email registrar@amtdaycamp.com that you will be using Cookie Credits, and include the card number along with the amount you wish to use. You will be reimbursed for the amount you wish to use from cookie credits.
If you plan to use Cookie Credits that you have not yet received from this year`s sales, please pay full amount and email registrar@amtdaycamp.com that you plan to use Cookie Credits when you receive them. When you receive your Cookie Credit card, please email registrar@amtdaycamp.com with card number and the amount you wish to use. You will be reimbursed for the amount you wish to use from cookie credits.
Fulltime Volunteer Discount**
Choose Fulltime Volunteer Disc
1 $10.00
2 $20.00
3 $30.00
4 $40.00
5 $50.00
** There is a $20 discount for the week for each girl camper or PAIT of a FULL TIME volunteer. Discount DOES NOT apply to PAs, Tagalongs, Boy Tagalongs, VA`s, or VAITs.
Grand Total:
Payment Info
Sending in Check
(Please be sure to write the name of the camper(s) in the MEMO line)
What is the name on the check you are submitting?*
Who are you submitting payment for?*
Paying via PayPal account
What is the name of the paypal account you will be submitting payment under?*
Who are you submitting payment for?*
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