Payment Submission Form

Child(ren)'s Name(s):  _________________________________________________
 

Parents' Name(s):  ____________________________________________________

Phone Number:  _______________________________________

Camp(s) Enrolled in:  __________________________________________________

__________________________________________________________________

TOTAL AMOUNT DUE:  _________________

MC/VISA #:  _______________________________________________________

Exp. Date: _______________

or enclose a check payable to THE WORKS.

Please complete this form and mail it to The Works, 5701 Normandale Rd, Edina, MN 55424.