Camp Bethel ACA Course Registration
Allow at least 10 minutes to complete, and be as thorough as possible. Be sure you click SUBMIT at the end of this form. After submitting your Registration Form, instructor Beth Wiegandt will contact you via e-mail. Add "YourOutdoorClassroom@gmail.com" to your contacts so that Beth can send you an e-mail with links to your course information, a required Health Form, any additional payments due, and important information about your course.
Email address *
Your First Name *
Thank you for using correct capitalization throughout this form. Required info.
Your answer
Your Last Name *
Thank you for using correct capitalization throughout this form. Required info.
Your answer
Your Gender *
Required info.
Your Date of Birth *
Ex: 02/09/1981. Required info.
Your answer
Your Mailing Address *
Include Street or PO Box #, City, State and Zip. Thank you for using correct capitalization throughout this form. Required info.
Your answer
Your Cell Phone Number *
We will use this number to communicate Course specifics and/or important updates to our time together. Required info.
Your answer
Which course are you requesting? *
Required info. If you are requesting multiple courses, you will need to complete a separate registration for each course.
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