2024-2025 Poplar Bluff R-I School Year Camp Day Registration

2024-2025 Camp Day Registration

Child's Name

First Name *

Last Name *

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School your child currently attends

Grade your child is currently in

Good Friday - Boys & Girls Club closed to kids on April 18, 2025

April 21, 2025

Parent/Guardian Name

First Name *

Last Name *

Parent/Guardian Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Parent/Guardian Phone

Parent/Guardian Email

Cardholder Name

Credit Card #

Expiration Date

Security Code

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged