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
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Phone Number ()- Alternate Phone Number ()-
Total Attending: Number of Adults ---123456 Number of Children ---0123456789
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
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Captcha: Please enter the code above and click the send button below to send your registration. We look forward to seeing you!