Prior to Arrival Form

1
Your Name:* This field is required.
First
Last
2
Which retreat facility are you attending?
Please Select
Please Select
Alpine Retreat and Camp (Lake Arrowhead)
Mile High Pines Camp (Near Big Bear)
3
Student Grade Level(s):* This field is required.
4
Your E-mail:* This field is required.
5
School's Name:* This field is required.
6
Date of Arrival:* This field is required.
Date
Month
Day
Year
7
Final # of MALE students attending camp:* This field is required.
Do not include teachers or parents
8
Final # of FEMALE students attending camp:* This field is required.
Do not include teachers or parents
9
Report STUDENT's medical, behavioral, departure/arrival notes. DO NOT list food allergies here:
10
Report STUDENT and ADULT dietary restrictions or food allergies here:
11
List all ADULTS attending camp (must bring 2+, required):* This field is required.A minimum of two (2) school representatives must be on-campus for the entire duration of your camp stay.
12
What are two (2) topics or takeaways you'd like to see highlighted for your students?
13
Name of Lead Teacher:* This field is required.
First and Last
14
Cell Number of Lead Teacher:* This field is required.
Cell service is VERY limited. Please bring your own WiFi hotspot if you need reliable internet while at camp.
15
As stated in the contract, which adult will be bringing a personal vehicle that will stay on campus for the entire duration of the program?* This field is required.
First and Last
16
Remember: Your school must bring "a minimum of two (2) school representatives to camp for the entire duration of camp, including staying overnight." Do you agree to do so?* This field is required.
YESNO
17
IMPORTANT: All adults attending camp, even for one day, must submit our Release Waiver & Health History documents. Does your school understand and agree to do so?* This field is required.
YESNO
Should be Empty: