Family Camp Registration Form

Head of Household Family Camp Name:

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number

Area CodePhone Number

CabinINN

Please let us know which cabin, lodge or inn room you would like to stay in.

Depend on availability

ENGLISH Family Camp 1 July 4-11ENGLISH Family Camp 2 July 8-11SPANISH Family Camp 1 July 11-18SPANISH Family Camp 2 July 15-18

Family Members:

Rows	First Name	Last Name	DOB, Age	Shirt Size
1
2
3
4
5
6
7
8
9
10
11
12

YesNo

If yes, please explain.

YesNo

Emergency Contact Information

Please enter the name of the parent or guardian who should be contacted in the case of an emergency.

Name

First NameLast Name

Phone Number

Area CodePhone Number

Address

Street Address

CityState / Province

Postal / Zip Code

CAMP REGULATIONS*

CAMP POLICIES*

CODE OF CONDUCT*

MEDICAL CONSENT*

ACTIVITIES*

pHOTO RELEASE*

Family Camp Paintball Notice

NOTE:
Paintball activities are available for family camp for ages 10 and
up only and cost $20 per person. Paintball activities are arranged upon arrival at camp.

Signature

Full payment of the Registration fee is due today to reserve your spot for Family Camp. If you wish to make payments towards your reservation or request cupon codes or inquire of credits or balances please call 334-272-7493 ext. 108 or email bvazquez@gscsda.org.

We can't wait to see you at Camp!

If you wish to make sure you reserve the right cabin, lodge or inn room please to make full payment today.

My Products

Family Camp Registration Fee$35.00

Family Camp Full Week$200.00

Weather your family decides a whole or half a week

Full Week	Quantity	Price
Adults		$200.00
13-17		$150.00
6-12		$100.00
0-5		$0.00

Item subtotal:$0.00

Family Camp Half Week (4 days)$140.00

Weather your family decides a whole or half a week

Half Week	Quantity	Price
Adult		$140.00
13-17		$105.00
6-12		$70.00
0-5		$0.00

Item subtotal:$0.00

Cabin$120.00

Select Prefered Cabin	Quantity	Price
Apalachee		$120.00
Cherokee		$120.00
Chickasaw		$120.00
Choctaw		$120.00
Creek		$120.00
Houma		$120.00
Koasati		$120.00
Muskogee		$120.00
Shawnee		$120.00
Natchez (max.10)		$120.00
Seminole (max. 10)		$120.00

Item subtotal:$0.00

INN Double Bed Rooms$100.00

ONLY AVAILABLE FOR SPANISH CAMP.

Inn	Quantity	Price
Inn 7		$100.00
Inn 8		$100.00
Inn 9		$100.00

Item subtotal:$0.00

INN Family Suite$350.00

Inn Room 1& 3 Sleeps 7 number 2 with handicap bathroom, sleeps 5 max. ONLY 1 AVAILABLE INN SUITE #3.

Enter coupon

Total $0.00

Credit or Debit Card

PAYMENT ARRANGEMENTS: PLEASE LET US KNOW HOW MANY PAYMENTS AND THE AMOUNTS.

Family Summer Camp Registration Form

Camp Agreement and Policies

Credit or Debit Card