2018 Parent Child Adventure Camp Registration Form
When: April 6-7

Where: Georgia FFA-FCCLA Center - Covington, GA

Cost: $150 (Includes 1 Parent and 1 Child)
$75 for each additional Parent/Child

Required Non-refundable Deposit: $50 per Participant

Your deposit must be received for your registration to be valid. You will be sent a confirmation e-mail upon confirmed receipt of your deposit. If you are registering more than one child, you will have to submit a form for each child. If you have any questions please call me at 770-786-6926 ext. 7 or email to HSmith@GaAgEd.org.

Child's Information
Child's First Name *
Your answer
Child's Last Name *
Your answer
Date of Birth *
Please us the '01/01/13" format
Your answer
Age *
Your answer
Gender
Child's T-Shirt Sizes *
Adult's Information
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City, State, & Zip Code
Your answer
Relationship to child attending *
Your answer
Home Phone *
Your answer
Work Phone
Your answer
Cell Phone *
Your answer
Parent's T-Shirt Sizes *
E-mail Address *
Your answer
How did you hear about the camp? *
Your answer
Rooming or any other special requests
Your answer
Before you click submit
Once you click submit, you will not be able to print or access this completed form. Print the form using your Internet Browser. Please send a copy of the print out of this page with the $100.00 deposit. If you are unable to print the form, just put a note with the deposit check indicating the child's name. Please make checks payable to the Georgia FFA-FCCLA Center. Thank you and please call if you have any questions. (770-786-6926 ext. 7)
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