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CAMP INFO 2024
GIVE
MAP
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CAMP INFO 2024
GIVE
MAP
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YOUR CART
MONITOR - Senior Camp
*
Indicates required field
Name
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First
Last
Date of Birth 00/00/00
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Emergency Contact
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First
Last
Emergecy Contact Phone Number
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Age during camp
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Church Name
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Pastor's Name
*
Gender
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Male
Female
Have you received the gift of the Holy Ghost?
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Yes
No
Email
*
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Alt. Phone Number
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Name of person paying with PayPal
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First
Last
PayPal email address
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Have you been baptized in Jesus' Name?
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Yes
No
Have you been convicted of any crimes involving inappropriate behavior with children?
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Yes, I'll explain.
No
If yes, please explain.
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Please list any medical conditions we should be aware of:
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List any medications that may be taken during camp:
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Upload a photo of yourself (optional)
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Max file size: 20MB
Select T-shirt Size
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youth S
youth M
youth L
youth XL
adult XS
adult S
adult M
adult L
adult XL
adult 2XL
adult 3XL
adult 4XL
Please also print & fill out a registration form by visiting the printable files link.
This form must be signed by your pastor.
I agree to abide by all rules and guidelines that be found on acofla.com
*
Yes
Submit