Step 2: Secure Credit Card Payments for Pharmacy Registration Fees - Summit 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! Summit Camp Pharmacy Menu: Home | 1. Register Your Camper | 2. Pay Registration Fees | 3. Camper Medication Form PLEASE NOTE that if Keystone is unable to fill any medications, the parent will be notified. KPP does not fill Inhalers, EpiPens, Injectables, Growth Hormones, Birth Control Prescriptions, or Acne Meds topicals and gels. Registration Fees are for Pharmacy Registration only. Medication costs not covered by insurance, co-pays, deductibles, changes to medications, and repacking fees will also apply and those additional fees will be billed separately to the credit card on file. Confirm Camp Session(Required)Please Select Camp SessionFull Season - 8 Weeks: June 21st thru Aug 15th1st Half Season - 4 Weeks: June 21st thru July 18th2nd Half Season - 4 Weeks: July 19th thru Aug 15th2nd Half + Extension - 5 Weeks: July 19th thru Aug 26thThis field is hidden when viewing the formPlease Select # of Campers Registered(Required)Please Select # of Campers Registering with Keystone Pharmacy1 Child Registered - $752 Children Registered - $1503 Children Registered - $225.004 Children Registered (Discount over 4) - $280.005 Children Registered (Discount over 4) - $335.006 Children Registered (Discount over 4) - $390.007 Children Registered (Discount over 4) - $445.008 Children Registered (Discount over 4) - $500.009 Children Registered (Discount over 4) - $555.0010 Children Registered (Discount over 4) - $610.000 Children Registered - $1.00The registration fee is $75 per camper for the first 3, and $55 per camper over 3 registrants (a $30 late fee applies after 5/25, and a $60 very late fee applies after 6/9) + a 4% credit card fee.This field is hidden when viewing the formPlease Select # of Campers Registered (after May 25th)(Required)Please Select # of Campers Registering with Keystone Pharmacy1 Child Registered - $1052 Children Registered - $210.003 Children Registered - $315.004 Children Registered - $400.005 Children Registered - $485.006 Children Registered - $570.007 Children Registered - $655.008 Children Registered -$740.009 Children Registered - $825.0010 Children Registered - $910.00The registration fee is $105 per camper for the first 3, and $85 per camper over 3 registrants (includes a $30 late fee after 5/25) + a 4% credit card fee.Please Select # of Campers Registered (after June 9th)(Required)Please Select # of Campers Registering with Keystone Pharmacy1 Child Registered - $1352 Children Registered - $270.003 Children Registered - $405.004 Children Registered - $510.005 Children Registered - $615.006 Children Registered - $720.007 Children Registered - $825.008 Children Registered - $930.009 Children Registered - $1,035.0010 Children Registered - $1,140.00The registration fee is $135 per camper for the first 3, and $105 per camper over 3 registrants (includes a $60 late fee after 6/9) + 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 InformationBilling / 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 AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe 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.