Register – Girls Lax Camps

First name *

Last name *

Company name (optional)

Country *United States (US)

Street address *

Apartment, suite, unit etc. (optional) (optional)

Town / City *

State / County *

Postcode / ZIP *

Phone *

Email address *

First Name *

Last Name *

DOB Month *

Day *

Year *

Session *

Position *

Roommate Request (optional)

How did you hear about us? (optional)

Cancellation Insurance ($50.00) (optional)

Camp T-Shirt (optional)

Product Quantity	Total
Cart Subtotal	$0.00
Order Total	$0.00 Pay Deposit ($300.00)

PayPal What is PayPal?

Pay via PayPal; you can pay with your credit card if you don’t have a PayPal account.

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