Friday August 29 – Monday September 1 "*" indicates required fields Register for an amazing and unforgettable experience for the entire family!REGISTER BY DECEMBER 31st, 2024 TO SECURE THE 2024 RATES. *Please submit one registration form per cabin or room. **Tuition is $155/person/night, all-inclusive of economy lodging in a duplex cabin, all food, and all programming. ***Upgraded hotel-style rooms available for an additional $200/room/nightPrimary Contact Name* First Last Primary Contact Phone*Primary Contact Email* Will you be staying for two nights or three nights?* Two nights: Friday August 29 – Sunday August 31 Three nights: Friday August 29 – Monday September 1 Which kind of accommodations would you like?* Duplex Cabin: Sleeps up to 8 in bunk beds, private/full bathroom. Included in nightly/person tuition.) Upgraded Hotel-Style Room: Sleeps up to 4 in two queen beds, private/full bath, air conditioned. Additional $200/night/room Total amount of people I am registering for Family Camp*Please enter a number from 2 to 8.Up to 8 in duplex cabin (min. 2 persons). Up to 4 in hotel-style room (min. 2 persons).Participant One Name* First Last Participant One Age*Is Participant One Vegetarian Vegan Lactose Intolerant Celiac/Gluten Allergy Eats a varied diet/no restrictions Other Please only include medically necessary food restrictions. Participant Two Name* First Last Participant Two Age*Is Participant Two Vegetarian Vegan Lactose Intolerant Celiac/Gluten Allergy Eats a varied diet/no restrictions Other Please only include medically necessary food restrictions. Participant Three Name First Last Participant Three AgeIs Participant Three Vegetarian Vegan Lactose Intolerant Celiac/Gluten Allergy Eats a varied diet/no restrictions Other Please only include medically necessary food restrictions. Participant Four Name First Last Participant Four AgeIs Participant Four Vegetarian Vegan Lactose Intolerant Celiac/Gluten Allergy Eats a varied diet/no restrictions Other Please only include medically necessary food restrictions. Participant Five Name First Last Participant Five AgeIs Participant Five Vegetarian Vegan Lactose Intolerant Celiac/Gluten Allergy Eats a varied diet/no restrictions Other Please only include medically necessary food restrictions. Participant Six Name First Last Participant Six AgeIs Participant Six Vegetarian Vegan Lactose Intolerant Celiac/Gluten Allergy Eats a varied diet/no restrictions Other Please only include medically necessary food restrictions. Participant Seven Name First Last Participant Seven AgeIs Participant Seven Vegetarian Vegan Lactose Intolerant Celiac/Gluten Allergy Eats a varied diet/no restrictions Other Please only include medically necessary food restrictions. Participant Eight Name First Last Participant Eight AgeIs Participant Eight Vegetarian Vegan Lactose Intolerant Celiac/Gluten Allergy Eats a varied diet/no restrictions Other Please only include medically necessary food restrictions. Is there anything else you would like us to know?Payment Type* Credit Card Check If paying by check, please send to Capital Camps, 11300 Rockville Pike, Suite 407, Rockville, MD 20852. Cost per person Quantity* Price: $310.00 Quantity Please put number of people in your family in the quantity box. Hotel-style room upgrade Price: Reminder: rooms hold a maximum of four people. Cost per person Quantity* Price: $465.00 Quantity Please put number of people in your family in the quantity box. Hotel-style room upgrade Price: Reminder: rooms hold a maximum of four people. Total Payment InformationCredit Card* DiscoverMasterCardVisaSupported Credit Cards: Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country EmailThis field is for validation purposes and should be left unchanged. Δ
