Camp Victory Form / Spring 2019 / Melbourne / McClure Events Center

March 18 - 22, 2019 | Please fill out this form and click submit.
 
 
 
 
 
 
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Family Information

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Insurance Information

 
 
 
General Consent

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Media Release

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Mandatory Credit Card Authorization for Payment

Camp Victory is a full week program.
Please enter the necessary information so that Victory can withdraw $140.00 on the first day of camp, March 18.
 
 
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I authorize Victory Kid Sports to charge $140 to the credit card listed on this form. I agree to pay for this purchase in accordance to the issuing bank cardholder agreement (Please date and put your signature in the box to confirm you agree with this weekly transaction.)

 
 
Payment

 
$30.00
 
 
 
 
 
 

Description

March 18 - 22, 2019
Please fill out this form and click submit.