Part 1 of 2008 Registration - Information about the Camper(s)

Please note that on-line registration is not valid until Part 2, "On-Line Credit Card Payment for Registration," is completed. Visa and Master Card are accepted for payment.

Privacy Notice: The sign-up and credit-card information is used only for Space Flight Adventure Camp registration purposes. This information is not provided to organizations, companies, or persons not directly involved with the management of Space Flight Adventure Camp. Cookies are used only for the proper functioning of the on-line payment program.
Please provide the following information about the camper. (After submitting this information by clicking on the Submit button below, you may provide information for additional campers or proceed directly to the on-line credit card payment section.)
Entries in all fields are required.
Select a Camp Date:  
Camper's Name:
Street Address:
City:
   State: Zip:
Is the Camper
a U.S. Citizen?		 Yes  No
Camper's Age:
Camper's Gender: Male / Female
Has the camper attended
Space Flight Adventure Camp at Wallops before?
Number of 1-week camps attended before:
Parent/Guardian Name:
Day Phone:
Evening Phone:
Email:
Camper's School:
Camper's T-Shirt Size:
 



 

Go to Space Flight Adventure Camp Home Page
Please note that on-line registration is not valid until Part 2,
"On-Line Credit Card Payment for Registration," is completed.