Camp Registration Form

Camp Registration Form

To book for a place in the the camp, you must complete the form below accurately.
Child’s Name:*

First NameLast Name
Birth Date:*

MonthDayYear
Parent/Guardian Name:*

First NameLast Name
Relationship:*
Home Phone Number:*

Area CodePhone Number
Mobile Number:

Area CodePhone Number
Email Address:*
Primary Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
SmallMediumLargeExtra-largeOther
Please provide any medical or dietary restrictions you have:
How did you hear about Camp?:*

Complete Registration
Are you ready for the ALC Summer Camp Experience?*
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Registration Fee$50.00

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.