ACC Family Camp 2018 Form

ACC Family Camp 2018 Registration Form

Please fill out all fields for your Family Camp Registration.

Personal Information

Name *

Name

First Name

Last Name

Spouse Name

If Applicable

First Name

Last Name

Home Phone *

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Email Address *

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Select Registration Options

There are various options to choose from for Family Camp Registration. Please select what fits your needs.

Which Accommodation? *

Camp Talakudik has a variety of options for your family. There are limited space available for Camper Trailers

Camper Trailer Site (Limited)

Large Cabin (12 Beds)

Small Cabin (8 Beds)

Tent Site

No Accommodation (Traveling back and forth)

Any Special Needs? *

Regarding food or accommodations?

Individuals to be registered with ages

Please write out Names with ages in brackets. Ex: Al Kirkbride (39), Ashley Kirkbride (33), Cara Kirkbride (4), James Kirkbride (1)

Before you click "Submit"

You will need a have a PayPal account to pay online. You can pay via cheque. Make cheques out to "Atlantic Community Church, Inc." Memo or Note: ACC Family Camp.

PLEASE PAY BEFORE 'SUBMIT' FORM.

There are FOUR options to choose from for Registration. Please pick one for the payment. If you have questions about payment, then submit the form and then come back and pay. Please contact us about questions or concerns.

THERE ARE OPTIONS IF YOU NEED HELP FINANCIALLY. WE WANT YOU AND YOUR FAMILY THERE AT CAMP!! Contact al@accweb.ca or brandon@accweb.ca.

PRINT A COPY OF YOUR INVOICE AS PROOF OF PAYMENT! Or save it as a PDF (It's an option in the PRINT menu)