New Years Retreat
December 29th-January 1st
Cost $95 per camper
Grades 6th -12th
Check in 7pm December 29th
Check out 11am January 1st
300 S Margaret Dr. Prescott AZ 86302
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Name *
Grade *
Gender *
Email *
Parent's or Guardians number *
Health Insurance *
Emergency Contact *
Emergency Contact *
Do you give camp ALOMA permission to transport your camper in the event of a emergency *
Do you give camp ALOMA permission to give your camper medical attention if needed *
Do you give camp ALOMA permission to take photos of your camper or use their photo in social media promotion *
Dietary restrictions *
Does your camper take medication *
I understand that if my camper shows any signs of COVID 19 or any other sickness during this event I will be responsible to pick them up. *
Required
If you would like transportation you must call 928-778-1690 to rsvp. There is limited seating so please consider carpooling if that option for you. It is $45 extra for transportation. Indicating in this form doesn't mean you have signed up for transportation. Please call. *
I understand that I will have to pay $$ upon arrival *
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