Camp Wildcat- Online Registration ACH Payment

Use this online form if paying by cash, check or using ACH-withdrawal from your bank.
Remember checks need to be made out to The Siena School.
First Name of Student
Last Name of Student
Student Grade for 2017-18
Camp Shirt Size
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL

Parent Information
Parent Name
Parent Email Address
Phone Number
I am the legal guardian/custodial parent
Emergency Number
Address Line 1
Address Line 2
Zip Code

Camp Wildcat Select Your Session
Week 1 June 19-23 $360
Week 2 June 26-30 $360
TWO FULL WEEKS June 19-30 $720
Week 3 July 3-7 half day program (no camp July 4) $155

Payment Information
Select your payment process:
Cash- bring into The Siena School
Check- make checks payable to The Siena School, mail or drop off at school
ACH-Online payment from your checking account, complete the information below
If paying by ACH through your bank, enter the information below:
First Name on Account
Last Name on Account
Bank Name
Routing Number
At the bottom of your check are three sets of numbers in the lower left corner. The Routing Number Is a nine digit number used to identify a financial institution in a transaction.
Account Number
At the bottom of your check are three sets of numbers in the lower left corner. The account number is usually the second set of numbers.
Account Holder Type
Typically this is your personal account.  Type in Personal.
Account Type
Typical types are checking or savings.  Type whichever you are using.
Form Total: $0.00
I approve of this Parent/Guardian authorization.
Signature required to process this registration
Electronic Signature

The Siena school reserves the right to cancel any program or service for insufficient enrollment. In such cases, tuition payments would be refunded.

The Siena School reserves the right to dismiss, without tuition refund, any student whose conduct is inappropriate or unsafe.

The Siena School reserves the right to make substitutions of and/or changes to the activities offered.

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