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GUEST REGISTRATION - OPENING DAY

 

If you plan on attending ADA Camp Carefree to man a table or station on Opening Day, please complete the registration form below to be an ADA Camp Carefree GUEST.  Your advance registration assists us in planning for  your visit.

 

For safety reasons, Guests must always be under the direct supervision of ADA Camp Carefree staff.  Guests are also welcome to join us for meals if your activity or agreed upon time goes across a meal time.  Specific programs at camp which greatly benefit the campers could not run without our Guests!

 

REGISTER AS AN OPENING DAY GUEST

Name (first and last, please)*:

Street Address (line 1)*:

Street Address (line 2):

City*:

State*:

Zipcode*:

Best Phone # to reach me*:

This is my (please select one):

Home Phone

Work Phone

Cell Phone

Email Address*:

Birthday (month/day only - no year please)*:

Will you be at least 18 years old by August 1 of this year? (please select one)

Yes

No

Purpose of your visit (please check all that apply):

American Diabetes Association Representative

 

ADA Office:

Flames Ride

Researcher

 

Research Program:

Other (please provide the following):

 

Other Name:

Is this your first time at ADA Camp Carefree?

 

Yes

No, I last visited camp in (please provide year):

ADA Camp Carefree 2017 Calendar
SUN MON TUE WED THU FRI SAT

7/23

Camp Opens

 

7/24

 

7/25

 

7/26

 

7/27

 

7/28

Bass Fishing Day

7/29

 

7/30

 

7/31

 

8/1

 

8/2

 

8/3

 

8/4

 

8/5

Camp Closes 12 noon

Please check one of the following as it pertains to your schedule for arriving/leaving camp:

I plan to visit camp on the following days:
 
 
Iím not sure of exact days/times right now, but I will let you know by the following date:

 

 

 

 

I plan to arrive on this date:
I plan to arrive at this time:
I plan to leave on this date:
I plan to leave at this time:
   

 

 

I plan to stay for the following meals:

None

Breakfast

Lunch

Dinner

All Meals

I plan to stay overnight:

Yes, and I agree to complete the Voluntary Disclosure Form (provided upon submission of this registration) if I am not an ADA Representative.

No

I need to be contacted to make special arrangements:

Yes

No

I am the invited guest of:
Name:
Position:
I have read and agree to abide by the Visitor and Guest Policy, the daily camp schedule, the camp rules, and I canít wait to come to CAMP!

Yes

No

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Thank you for taking the time to complete this form.

We look forward to seeing you soon!

 

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American Diabetes Association Camp Carefree - All Rights Reserved

Website Design by Laura Murphy

Timestamp

Last Updated 4/29/2017