Registration Form
Home Page Camp ScheduleStatement of FaithImportant Information Registration Form

 

ALACCA REGISTRATION

Please complete the following information and click "Submit", or print the form, and send to our address or fax to our number:
Name
Address
City             State                 Zipcode
Camper's Phone     Birthdate    Age
Camper's Church     Pastor
Does your child have a physical or emotional problem that we should know about?
If medical treatment is necessary by the nurse or doctor, I hereby grant my permission: 
Parent Signature Required    Date
I will be attending (Retreat/Camp)   Dates
Registration Fee Paid      Date   Date Received
I will cheerfully observe all camp rules.  Since all reasonable care is taken to insure the safety of campers at all times, I will not hold the Director, Staff, or Camp Board responsible for accidents at the camp or enroute to and from the camp.
I will be attending the following camp/retreat:
Camping Event    Dates
If medical treatment is necessary by nurse or doctor, I hereby grant my permission.
  (Parent Signature Required)    Date
How you heard about ALACCA & other input please:

                 

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Alacca Bible Conference
Camp Director,
Mark Kennedy
P.O. Box 232, Grangeville, ID 83530
Telephone: 208-983-1188
Office/Fax: 208-983-7954
Email: camp@alacca.org