2024 Summer Fitness Program

Required

Student Namerequired

First Name

Last Name

Email Addressrequired

Grade (as of 2024-25 school year)

9th

10th

11th

12th

Camp Day(s) you will attend

Monday

Tuesday

Thursday

Parent Name required

First Name

Last Name

Parent Email Addressrequired

Payment Options

Pay by Check

Credit Card ($100.00)

If paying by check, please make checks payable to Our Lady of Mercy Academy and mail to:

1001 Main Rd, Newfield, NJ 08344

Attn: Matt Lenguadoro

Fee- A 2.95% service fee has been added for credit card payments

$2.95

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Please select a payment typerequired

Card

Billing Addressrequired

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Expirationrequired

Month

Year