2019 Alpine Camp Father-Son Registration Form
Alpine Camp Father-Son registration is $600 for a father and one son. An additional $250 is due for each additional son. After March 15, the full amount is due with registration for Spring Father-Son. After August 1 the full amount is due with registration for Summer Father-Son.

Please DO NOT USE ALL CAPS when completing this form.

Please choose the Father-Son Session you would like to attend. *
Son's First Name *
Your son's first name
Your answer
Son's Last Name *
Your son's last name
Your answer
Son's Birthdate *
e.g. 01/01/2004
Your answer
Son's Grade *
Your son's current grade in school (school year 2018-2019)
Parent's Mailing Title *
(Mr. & Mrs.; Dr. & Mrs.; Rev. & Mrs.; etc.)
Your answer
Father's First Name *
(as you would like it to appear on your name tag)
Your answer
Father's Last Name *
Your answer
Father's Birthdate
(MM/DD/YY)
Your answer
Father's Email Address *
Your answer
Father's Cell Phone Number *
(please enter in this form - 555-555-1212)
Your answer
Mother's First Name *
Your answer
Mother's Last Name *
Your answer
Mother's Email Address *
Your answer
Mother's Cell Phone Number *
(please enter in this form - 555-555-1212)
Your answer
Home Address *
Street or P.O. Box
Your answer
City *
Your answer
State *
Please use 2 letter abbreviation e.g. AL, GA, TN, LA, etc.)
Your answer
Zip Code *
Your answer
Home Phone Number
(please enter in this form - 555-555-1212)
Your answer
How did you hear about Alpine? *
Please tell us how you heard about Alpine Camp for Boys. If friend, please be specific.
Your answer
Multiple Sons
If you are bringing more than one son, list name, birth date and current grade of each additional son who will be attending. For Summer and Fall Sessions, please list the grade your child is in for the 2017-18 school year.
Second Son - First Name
Your answer
Second Son - Last Name
Your answer
Second Son - Birthdate
(e.g. 01/01/2004)
Your answer
Second Son's Grade
(Current grade in school, school year 2018-2019)
Third Son - First Name
Your answer
Third Son - Last Name
Your answer
Third Son - Birthdate
(e.g. 01/01/2004
Your answer
Third Son's Grade
(Current grade in school, school year 2018-2019)
General Information
Please complete the information below to help us make your weekend a great one!
Are there any dietary or other medical conditions that will require special attention for the weekend? *
If 'Yes', list participant's name, explain the condition and how we can help.
Your answer
If dietary allergy, is there a risk of anaphylaxis?
If 'Yes', list participant's name, explain the condition and how we can help.
Your answer
We Will Arrive On *
Father-Son Terms and Conditions
I understand that the Father-Son fee is $600 for a father and one son and $250 for each additional son from the same family. A $250.00 deposit for a father and one son, with an additional $125 deposit due for each 2nd, 3rd and 4th son with your registration. Deposits must be received within 30 days of registration. This deposit is refundable until March 15 for the Spring Father-Son Session, August 1 for the Summer Father-Son Session. Final payment for the Spring Father-Son Session is due March 15. Final payment for the Summer Father-Son Session is due August 1.

I grant permission for Alpine Camp to use my and my child’s likeness on the Camp website and in other Camp promotions.

I understand it is the responsibility of father and son to become familiar with all the activities and programs offered by Alpine Camp for Boys at the Father-Son Session. I understand that mine and my child's participation at Alpine Camp for Boys and any activity is completely voluntary. I further recognize that there are hazards and dangers inherent in camp events and programs, and although Alpine Camp has taken measures to minimize the risk of injury to camp participants, it cannot guarantee that the participants, equipment, premises and/or activities will be free of hazards, accidents and/or injuries. I further recognize and have instructed my child in the importance of knowing and abiding by the camp's rules, regulations, and procedures for the safety of camp participants.

I also understand that unlike summer camp sessions, limited medical personnel and supplies will be on-site for Father-Son Sessions. I agree that it is my responsibility to make all decisions regarding the health and welfare of my son and me, including securing proper treatment for any injuries or medical emergencies. I understand that any incidental charges, including medical bills for any accident, illness, or medications will be my responsibility.

I agree that any dispute between Alpine Camp for Boys, its owners, officers, directors, employees, contractors, volunteers and me shall be governed by the substantive laws of the State of Alabama, and that any mediation or suit initiated for me and/or on behalf of my minor child named above shall occur or be filed in DeKalb County, Alabama.

Father-Son Terms and Conditions Approval *
Payment Information
Payment must be received within 30 days of registration to be valid for all Father-Son Sessions. We cannot guarantee your spot without your payment. If you have any questions, please call our office at 256-634-4404 or email Jennifer at summer@alpinecamp.com.
Payment Options *
Submit
Never submit passwords through Google Forms.
This form was created inside of Alpine Camp for Boys. Report Abuse - Terms of Service