Manitou Clothing Authorization Form

PLEASE FILL THIS OUT FOR EACH CHILD IN YOUR FAMILY SEPARATELY. THANK YOU!

CAMPER'S NAME: *

PLEASE SELECT ONE OF THE FOLLOWING OPTIONS BELOW AND ENTER YOUR CREDIT CARD INFORMATION TO AUTHORIZE YOUR CHILD(REN) TO PURCHASE CLOTHING AT CAMP THIS SUMMER.

*

Yes, my child(ren) can purchase up to $150 each in clothing this summer.

Yes, my child(ren) can each purchase clothing at camp up to a value of $ Yes, my child(ren) can each purchase clothing at camp up to a value of $

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVC CODE *

email address for confirmation *