Camp Victory Form / Spring Break 2020 / Orlando

March 16 - 20 | Please fill out this form and click submit.

Converge HQ
11002 Lake Hart Drive
Orlando, FL 32832

Register by March 9 and your tuition will be $160 for the week.
After March 9, it will be $175 for the week.
 
 
 
 
 
 
Please select all that apply.
Please select one option.
 
 
 
 
Please select all that apply.
Please select one option.
 
 
 
 
 
 
 
 
Family Information

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Insurance Information

 
 
 
General Consent

Please select all that apply.
 
 
 
Media Release

 
 
 
 
Mandatory Credit Card Authorization for Payment

Please enter the necessary information so that Victory can withdraw the agreed upon tuition of $160 (early bird) or $175 (regular) on Monday March 18.
 
 
 
Please select one option.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Payment

 
$30.00
 
 
 
 
 
 

Description

March 16 - 20
Please fill out this form and click submit.

Converge HQ
11002 Lake Hart Drive
Orlando, FL 32832