Alacca Registration Form for bible camp. Teen camps, adult camps, womens camps, mens camps, kids bible camp.

First and Last Name

If Under 18, Parent Name

Address

City State Zipcode

Phone

Email

Birthdate Age If Youth Registration, Grade This Fall

Church Pastor

Event To Attend: Click here for the events list and dates

In Case of Emergency Call: Name:
Telephone:

Any allergies, food or others? If yes, please list all allergies:

Any prescription drugs to be taken at camp? If yes, please list all drug names, what the prescription is for,
and dosage schedule:

Room Mate Preferences? Please list:

Any physical or emotional problem that we should know about? If yes, please describe:

I agree to cheerfully observe all camp rules. Since all reasonable care is taken to insure the safety of participants at Camp ALACCA events at all times, I will not hold ALACCA, the Camp Director, volunteer staff, or Board of Directors responsible for accidents on the ALACCA grounds or enroute to and from the camp property. If medical treatment is necessary by nurse or doctor, I hereby grant my permission.

The above checked box is a required field and if unchecked, registration will not be processed on line.

How did you hear about ALACCA ?

Extra Comments / Additional Information:

After you submit, be sure to address the Captcha requirement, the last step to your online registration.

ALACCA Bible Camp Registration