{"id":13099,"date":"2026-01-19T14:12:46","date_gmt":"2026-01-19T19:12:46","guid":{"rendered":"https:\/\/siskincoutts.org\/?page_id=13099"},"modified":"2026-01-19T14:42:18","modified_gmt":"2026-01-19T19:42:18","slug":"summer-camp-payments","status":"publish","type":"page","link":"https:\/\/siskincoutts.org\/?page_id=13099","title":{"rendered":"Summer Camp Payments"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-stripe wpforms-block wpforms-block-a18654ab-482a-480b-aef1-b39107ebaea5\" id=\"wpforms-13076\"><form id=\"wpforms-form-13076\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"13076\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F13099\" data-token=\"d16b8ccd1ee14ccaef59a2fbc013c853\" data-token-time=\"1779167109\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-13076-field_4-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"4\"><div id=\"wpforms-13076-field_4\" class=\"wpforms-field-large wpforms-field-row\"><p>Use this form to pay a balance due for Coutts Camp 2026.<\/p>\n<p style=\"text-align:center\">If you have not submitted a registration form for Camp you need to do that\u00a0 FIRST! Visit our camps page to complete online registration form. Payments can be mailed to PO Box 565, Derby VT 05829 or completed online.<\/p>\n<p>If you a balance due please submit the payment below.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-13076-field_10-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"10\"><label class=\"wpforms-field-label\">Campers Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-13076-field_10\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][10][first]\" required><label for=\"wpforms-13076-field_10\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-13076-field_10-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][10][last]\" required><label for=\"wpforms-13076-field_10-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-13076-field_11-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"11\"><label class=\"wpforms-field-label\">Parents name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-13076-field_11\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][11][first]\" required><label for=\"wpforms-13076-field_11\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-13076-field_11-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][11][last]\" required><label for=\"wpforms-13076-field_11-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-13076-field_12-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-13076-field_12\">Parents email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-13076-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-13076-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-13076-field_13\">What week or weeks are you paying for?<\/label><input type=\"text\" id=\"wpforms-13076-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" ><div class=\"wpforms-field-description\">Is it Week 1? Week 2?  which week is your camper enrolled in? you can list the dates or week #<\/div><\/div><div id=\"wpforms-13076-field_2-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-type=\"payment-checkbox\" data-field-id=\"2\"><label class=\"wpforms-field-label\">If you have already paid the deposit, Choose the camp you owe balance due below<\/label><ul id=\"wpforms-13076-field_2\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-13076-field_2_1\" class=\"wpforms-payment-price\" data-amount=\"175.00\" name=\"wpforms[fields][2][]\" value=\"1\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-13076-field_2_1\">day camp minus deposit $170 plus transcation fee $5 &#8211; <span class=\"wpforms-currency-symbol\">&#036;175.00<\/span><\/label><\/li><li class=\"choice-4\"><input type=\"checkbox\" id=\"wpforms-13076-field_2_4\" class=\"wpforms-payment-price\" data-amount=\"134.00\" name=\"wpforms[fields][2][]\" value=\"4\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-13076-field_2_4\">reduced rate day camp minus deposit $130 plus fee $4 &#8211; <span class=\"wpforms-currency-symbol\">&#036;134.00<\/span><\/label><\/li><li class=\"choice-2\"><input type=\"checkbox\" id=\"wpforms-13076-field_2_2\" class=\"wpforms-payment-price\" data-amount=\"329.00\" name=\"wpforms[fields][2][]\" value=\"2\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-13076-field_2_2\">overnight camp minus deposit $320 plus $9 fee &#8211; <span class=\"wpforms-currency-symbol\">&#036;329.00<\/span><\/label><\/li><li class=\"choice-5\"><input type=\"checkbox\" id=\"wpforms-13076-field_2_5\" class=\"wpforms-payment-price\" data-amount=\"247.00\" name=\"wpforms[fields][2][]\" value=\"5\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-13076-field_2_5\">reduced rate overnight minus deposit $240 plus $7 &#8211; <span class=\"wpforms-currency-symbol\">&#036;247.00<\/span><\/label><\/li><li class=\"choice-3\"><input type=\"checkbox\" id=\"wpforms-13076-field_2_3\" class=\"wpforms-payment-price\" data-amount=\"51.00\" name=\"wpforms[fields][2][]\" value=\"3\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-13076-field_2_3\">bear cub camp minus deposit $50 plus fee $1 &#8211; <span class=\"wpforms-currency-symbol\">&#036;51.00<\/span><\/label><\/li><\/ul><div class=\"wpforms-field-description\">Use this option to pay a balance due if you have paid the deposit already and want to pay balance due.<\/div><\/div><div id=\"wpforms-13076-field_5-container\" class=\"wpforms-field wpforms-field-payment-multiple\" data-field-type=\"payment-multiple\" data-field-id=\"5\"><label class=\"wpforms-field-label\">If you need to pay for full week of camp and have already completed the registration online and have not submitted any payment yet, choose the camp you wish to pay for below..<\/label><ul id=\"wpforms-13076-field_5\"><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-13076-field_5_1\" class=\"wpforms-payment-price\" data-amount=\"226.50\" name=\"wpforms[fields][5]\" value=\"1\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-13076-field_5_1\">Day camp full cost $220 plus fee $6.50 &#8211; <span class=\"wpforms-currency-symbol\">&#036;226.50<\/span><\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-13076-field_5_2\" class=\"wpforms-payment-price\" data-amount=\"185.50\" name=\"wpforms[fields][5]\" value=\"2\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-13076-field_5_2\">Reduced rate day camp full cost $180 plus fee $5.50 &#8211; <span class=\"wpforms-currency-symbol\">&#036;185.50<\/span><\/label><\/li><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-13076-field_5_3\" class=\"wpforms-payment-price\" data-amount=\"432.00\" name=\"wpforms[fields][5]\" value=\"3\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-13076-field_5_3\">Overnight camp full cost $420 plus fee $12 &#8211; <span class=\"wpforms-currency-symbol\">&#036;432.00<\/span><\/label><\/li><li class=\"choice-4\"><input type=\"radio\" id=\"wpforms-13076-field_5_4\" class=\"wpforms-payment-price\" data-amount=\"350.00\" name=\"wpforms[fields][5]\" value=\"4\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-13076-field_5_4\">Reduced rate overnight camp full cost $340 plus fee $10 &#8211; <span class=\"wpforms-currency-symbol\">&#036;350.00<\/span><\/label><\/li><li class=\"choice-5\"><input type=\"radio\" id=\"wpforms-13076-field_5_5\" class=\"wpforms-payment-price\" data-amount=\"103.00\" name=\"wpforms[fields][5]\" value=\"5\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-13076-field_5_5\">bear cub full rate $100 plus fee $3 &#8211; <span class=\"wpforms-currency-symbol\">&#036;103.00<\/span><\/label><\/li><\/ul><div class=\"wpforms-field-description\">Use this option to complete full payment only if you have already registered online but have not paid anything yet.<\/div><\/div>\t\t<div id=\"wpforms-13076-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-13076-field_1\" >are email name<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-13076-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-13076-field_14-container\" class=\"wpforms-field wpforms-field-payment-multiple\" data-field-type=\"payment-multiple\" data-field-id=\"14\"><label class=\"wpforms-field-label\">If you need to pay the deposit for a week of camp and have already completed the registration online choose the deposit amount below and complete payment<\/label><ul id=\"wpforms-13076-field_14\"><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-13076-field_14_1\" class=\"wpforms-payment-price\" data-amount=\"51.00\" name=\"wpforms[fields][14]\" value=\"1\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-13076-field_14_1\">Day camp deposit $50 plus fee $1.00 &#8211; <span class=\"wpforms-currency-symbol\">&#036;51.00<\/span><\/label><\/li><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-13076-field_14_3\" class=\"wpforms-payment-price\" data-amount=\"103.00\" name=\"wpforms[fields][14]\" value=\"3\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-13076-field_14_3\">Overnight camp deposit $100 plus fee $3.00 &#8211; <span class=\"wpforms-currency-symbol\">&#036;103.00<\/span><\/label><\/li><li class=\"choice-5\"><input type=\"radio\" id=\"wpforms-13076-field_14_5\" class=\"wpforms-payment-price\" data-amount=\"51.00\" name=\"wpforms[fields][14]\" value=\"5\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-13076-field_14_5\">bear cub deposit $50 plus fee $1 &#8211; <span class=\"wpforms-currency-symbol\">&#036;51.00<\/span><\/label><\/li><\/ul><div class=\"wpforms-field-description\">Use this option to complete full payment only if you have already registered online but have not paid anything yet.<\/div><\/div><div id=\"wpforms-13076-field_7-container\" class=\"wpforms-field wpforms-field-payment-total wpforms-field-medium wpforms-summary-enabled\" data-field-type=\"payment-total\" data-field-id=\"7\"><label class=\"wpforms-field-label\">Total<\/label><div class=\"wpforms-order-summary-container\">\n\t<table class=\"wpforms-order-summary-preview\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\" role=\"presentation\">\n\t\t<caption style=\"display: none;\">Order Summary<\/caption>\n\t\t<thead>\n\t\t\t<tr>\n\t\t\t\t<th class=\"wpforms-order-summary-item-label\" valign=\"top\">Item<\/th>\n\t\t\t\t<th class=\"wpforms-order-summary-item-quantity\" valign=\"top\">\n\t\t\t\t\t<span class=\"wpforms-order-summary-item-quantity-label-full\">Quantity<\/span>\n\t\t\t\t\t<span class=\"wpforms-order-summary-item-quantity-label-short\">Qty<\/span>\n\t\t\t\t<\/th>\n\t\t\t\t<th class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:8ch;\">Total<\/th>\n\t\t\t<\/tr>\n\t\t<\/thead>\n\t\t<tbody>\n\t\t\t<tr class=\"wpforms-order-summary-placeholder\" style=\"display: table-row;\">\n\t\t\t\t<td colspan=\"3\" valign=\"top\">There are no products selected.<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"wpforms-order-summary-field\" data-field=\"2\" data-choice=\"1\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">If you have already paid the deposit, Choose the camp you owe balance due below &#8211; day camp minus deposit $170 plus transcation fee $5<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:8ch;\">&#036;175.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"2\" data-choice=\"4\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">If you have already paid the deposit, Choose the camp you owe balance due below &#8211; reduced rate day camp minus deposit $130 plus fee $4<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:8ch;\">&#036;134.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"2\" data-choice=\"2\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">If you have already paid the deposit, Choose the camp you owe balance due below &#8211; overnight camp minus deposit $320 plus $9 fee<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:8ch;\">&#036;329.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"2\" data-choice=\"5\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">If you have already paid the deposit, Choose the camp you owe balance due below &#8211; reduced rate overnight minus deposit $240 plus $7<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:8ch;\">&#036;247.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"2\" data-choice=\"3\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">If you have already paid the deposit, Choose the camp you owe balance due below &#8211; bear cub camp minus deposit $50 plus fee $1<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:8ch;\">&#036;51.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"5\" data-choice=\"1\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">If you need to pay for full week of camp and have already completed the registration online and have not submitted any payment yet, choose the camp you wish to pay for below.. &#8211; Day camp full cost $220 plus fee $6.50<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:8ch;\">&#036;226.50<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"5\" data-choice=\"2\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">If you need to pay for full week of camp and have already completed the registration online and have not submitted any payment yet, choose the camp you wish to pay for below.. &#8211; Reduced rate day camp full cost $180 plus fee $5.50<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:8ch;\">&#036;185.50<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"5\" data-choice=\"3\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">If you need to pay for full week of camp and have already completed the registration online and have not submitted any payment yet, choose the camp you wish to pay for below.. &#8211; Overnight camp full cost $420 plus fee $12<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:8ch;\">&#036;432.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"5\" data-choice=\"4\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">If you need to pay for full week of camp and have already completed the registration online and have not submitted any payment yet, choose the camp you wish to pay for below.. &#8211; Reduced rate overnight camp full cost $340 plus fee $10<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:8ch;\">&#036;350.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"5\" data-choice=\"5\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">If you need to pay for full week of camp and have already completed the registration online and have not submitted any payment yet, choose the camp you wish to pay for below.. &#8211; bear cub full rate $100 plus fee $3<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:8ch;\">&#036;103.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"14\" data-choice=\"1\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">If you need to pay the deposit for a week of camp and have already completed the registration online choose the deposit amount below and complete payment &#8211; Day camp deposit $50 plus fee $1.00<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:8ch;\">&#036;51.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"14\" data-choice=\"3\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">If you need to pay the deposit for a week of camp and have already completed the registration online choose the deposit amount below and complete payment &#8211; Overnight camp deposit $100 plus fee $3.00<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:8ch;\">&#036;103.00<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"14\" data-choice=\"5\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">If you need to pay the deposit for a week of camp and have already completed the registration online choose the deposit amount below and complete payment &#8211; bear cub deposit $50 plus fee $1<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:8ch;\">&#036;51.00<\/td><\/tr><tr class=\"wpforms-order-summary-preview-total\" ><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Total<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\"><\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:8ch;\">&#036;0.00<\/td><\/tr>\t\t<\/tbody>\n\t<\/table>\n<\/div>\n<div class=\"wpforms-payment-total\" style=\"display:none\">&#036;0.00<\/div><input type=\"hidden\" id=\"wpforms-13076-field_7\" class=\"wpforms-field-medium wpforms-payment-total\" name=\"wpforms[fields][7]\" value=\"0\"><\/div><div id=\"wpforms-13076-field_6-container\" class=\"wpforms-field wpforms-field-stripe-credit-card\" data-field-type=\"stripe-credit-card\" data-field-id=\"6\"><label class=\"wpforms-field-label\">Stripe Credit Card <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-no-columns wpforms-field-medium \" data-sublabel-position=\"above\" data-link-email=\"\" data-required=\"1\"><div id=\"wpforms-field-stripe-link-element-13076\"><\/div><div id=\"wpforms-field-stripe-payment-element-13076\"><\/div><input type=\"text\" class=\"wpforms-stripe-credit-card-hidden-input\" name=\"wpforms[stripe-credit-card-hidden-input-13076]\" disabled style=\"display: none;\"><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-13076-field_1-container { position: absolute !important; 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