AMA 2022 Registration Form

AMA Registration 2022

June 6 - 8, 2022 Sacramento, NM
Camper or Head of Household*

First NameLast Name
Age group (as of June 6, 2022)*
Address*

Street Address

CityState

Zip Code
Best Contact Number*
Please enter a valid phone number.
Email*
example@example.com
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*
Please enter a valid phone number.
Home Church: *
Pastor's Name: * Pastor Phone:*

Parent/Guardian Info (for campers age 12 - 18 attending without parent)
Parent/Guardian Name

First NameLast Name
Parent/Guardian Home Number
Parent/Guardian Cell Number
Parent/Guardian E-mail
example@example.com
Insurance Information

For campers age 12 - 18 attending without a parent
Camper Insurance Carrier or Plan:  Type a label   Group #   Type a label
Street Address      City   State   Zip
Name of Insured:   First Name   Last Name   Relationship to camper:

Family Member #2
First NameLast Name
Age group (as of June 6, 2022)

Family Member #3
First NameLast Name
Age group (as of June 6, 2022)

Family Member #4
First NameLast Name
Age group (as of June 6, 2022)

Family Member #5
First NameLast Name
Age group (as of June 6, 2022)

Family Member #6
First NameLast Name
Age group (as of June 6, 2022)

Family Member #7
First NameLast Name
Age group (as of June 6, 2022)

Medical or Disability needs
Does anyone on this registration have any allergies, chronic illness, or medical conditions (including disability)? If yes, please describe the situation and any steps that need to be taken at camp to manage the situation.

Fees

Prices include 3 nights lodging, daily recreation, and 8 meals (Monday supper thru Thursday breakfast). If you have questions about your specific situation, please email aMountainApart@gmail.com or call 505-573-1589.
Lodging *Please bring towels and bedding for all dorms except Forrest Lodge*

{Please note: Pets are not allowed in the dorms except designated rooms in Aspen Lodge. If you must bring a pet, please contact us as soon as possible: aMountainApart@gmail.com }

Ayers Dorm - Large private rooms with separate Men's/Women's bathroom in each wing. Each room has storage space, a double bed, and several twin bunks.

FULL Aspen Lodge - Each room has several twin bunks, a double bed, and a private bathroom.

FULL Forrest Lodge - Motel-style room with two queen beds, private bathroom, linens provided, and AC.

FULL Family Life Center - Large dorm rooms with one queen bed, 7 twin bunks, private bathroom with double sink, and AC. *Reserved for 4 or more staying together*

RV Camping - Full hook-ups. Both 50 amp and 30 amp sites available.

Tent Camping - Designated tent sites have access to a bathroom/shower facility.

Please indicate your lodging choice below based on the number of people in your family unit (including youth campers) or the number of people staying together in one room.

Please do not include toddlers under the age of 5 in this number.
Lodging Choice*
Other
$ amount for Other lodging
Lodging is assigned when complete registration and full payment is received. If your dorm choice is full, you will be placed on the waiting list and assigned to the next available lodging option. You will be contacted at the email address you provided.
Meals*
prevnext( X )
Adults (age 13 and up)
$110 #



Children (age 5 - 12)
$55 #



Toddlers (age 0 - 4)No charge. For information purposes only.
$ Free #



* Linen Service *Option to purchase linen service (towels and bedding) for beds in Ayers, Aspen, or Family Life Center. Price per bed.
$10 # beds



Total

$0.00
Total AMA 2022 Fees
Make checks payable to Apostolic Bible Church.

Forms and Payment
Follow the links below for:

Sacramento Assembly Release Form (click to complete electronically)

AMA Dress Code (please review before signing form below)

AMA Consent and Release Form (to be printed and mailed with payment)
Please verify that you have completed the following:
Please follow the links above, print and sign the necessary forms, and mail with payment to:

A Mountain Apart

PO Box 3049

Roswell, NM 88202
Your Total AMA 2022 Fees
Make checks payable to Apostolic Bible Church.
Should be Empty:

AMA Registration 2022

Insurance Information

Fees

Forms and Payment