Alternate Payment Form Use this form if you need to pay fees, order t-shirts, or to submit other payments. Simply complete the form below and click ‘Make Payment.’ Name First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Camp Location?*Select OneNot Camp RelatedAccokeek, MDCrowley, LALithopolis, OHEllicott City, MDMechanicsburg, PAMinden, LAOwings, MDPine Prairie, LARockville, MDRowlett, TXUpper Marlboro, MDWaldorf, MDWhat are you paying for?*Select OneRegistrationsT-ShirtsRegistrations and T-ShirtsOtherRegistration payments*One student name per line pleaseTotal Registration Payment Amount*Enter the total amount you should pay for registrations If other, please describe*Please describe what you are paying forPayment Amount*Enter the amount you've been asked to pay How Many T-Shirts?*Select One12345Student 1 Name*Student 1 T-Shirt SizeSelect OneYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLStudent 2 Name*Student 2 T-Shirt SizeSelect OneYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLStudent 3 Name*Student 3 T-Shirt SizeSelect OneYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLStudent 4 Name*Student 4 T-Shirt SizeSelect OneYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLStudent 5 Name*Student 5 T-Shirt SizeSelect OneYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLPayment Options*Select OnePay by Credit CardPay with PayPalCredit Card* DiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Total $0.00