AA & Al-Anon Camping Retreat
Cost of Registration: $20.00 per adult for the entire weekend. Children ages 18 & under are free.
Name(s) (required)
Address
City State Zip Code
Email Address
Phone Number ()- Alternate Phone Number ()-
Total Attending: Number of Adults ---123456 Number of Children ---0123456789
Enter the names you would like to have printed on your name badges: Badge 1: Badge 2: Badge 3: Badge 4: Badge 5: Badge 6:
We must have your vehicle tag number in order for you to enter the park: Vehicle 1 Tag: Vehicle 2 Tag: Vehicle 3 Tag: Vehicle 4 Tag:
We would like to use the Jack Ferguson Scholarship Fund: Yes No
We would like to contribute to the Jack Ferguson Scholarship Fund: Yes No
Subject
Additional Information:
Captcha: Please enter the code above and click the send button below to send your registration. We look forward to seeing you!
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