Winter Camp Registration
Event Dates: January 24th-26th, 2020
Event Address: ACA Camp Geneva, 36540 Via Marcia, Fruitland Park, FL 34731
Contact Us: philrobertson@cox.net or westlisab@gmail.com
Cost: $85. Please make checks payable to Florida College
Email address *
Name *
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Age at Camp Time *
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Grade at Camp Time *
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Parent/Camper Address *
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Parent Name & Contact Information - Cell Phone Preferred *
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Insurance Information *
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Agree to Waiver and Release *
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Dietary Restrictions
Prescription Medication(s)
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Please Explain any Medical Condition(s)
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