NJY Secure Payments - Keystone Pharmacy

Step 2: Secure Credit Card Payments for Pharmacy Registration Fees - NJY Camps

PLEASE NOTE

Our credit card systems are temporarily down for maintenance. PLEASE CALL Keystone Pharmacy to safely provide your credit card:

Call 570-970-2200 Ext 3 and ask for Rosemary or Karen. Thank you!

PLEASE NOTE: Keystone is unable to fill some C2 prescriptions (Controlled Substances) due to the national drug shortage. You should contact Keystone directly to determine if the C2 your student is on is one that the pharmacy can get through their vendor. KPP does not fill Inhalers, EpiPens, Injectables, Growth Hormones, Birth Control Prescriptions, or Acne Meds topicals and gels.

Confirm Camp Session(Required)

Please Select # of Campers Registered(Required)

The registration fee is $75 per camper for the first 3, and $55 per camper over 3 registrants (a $30 late fee applies after 6/1) + a 4% credit card fee.

This field is hidden when viewing the form

Please Select # of Campers Registered (after July 1st)(Required)

The registration fee is $105 per camper for the first 3, and $85 per camper over 3 registrants (includes a $30 late fee after 6/1) + a 4% credit card fee.

Please Confirm/List Camper Name(s)(Required)

Please list FULL names separated by commas so we can associate your payment with your camper(s)

Total

includes 4% credit card fee

Billing Information

Billing / Cardholder Name(Required)

First Last

Billing Email Address(Required)

Enter Email Confirm Email

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Payment Information (Secure Checkout)

Please enter your Credit Card below into our Secure form:

Credit Card(Required)

Cardholder Name

Card Details

Please only click the submit button once and wait for the payment to process.