Salida Circus Camp Registration Form

First child, $75; additional children, same family, $50 each.

How many children (ages 7 to 13) are you making reservations for?(Required)

All children must be from the same family.

List each child's info(Required)

Name

Age

Click the plus (+) icon to add another child.

Total for all Children

Price: $0.00

Total

Name(Required)

First Last

Email(Required)

Phone

Address(Required)

Street Address Address Line 2 City State ZIP Code

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Select PayPal or Credit Card payment

Westcliffe Center for the Performing Arts and Historic Jones Theater