Registration/Consent Form for Cedar Falls Camp
September 29 to October 1
Arrive to get your room key from 2pm - 6pm (on September 29th)
Camp Location: 1200 Cedar Falls Road, Angelus Oaks, CA, 92305
Contact us: Vitaly Tkachishin (+1 872 235 5639)
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Camp Price
Registration Fee (until Sept 23d, after that the fee will be increased) - $190 per person for 2 nights, 5 meals, parking, and lots of fun included.
Registration Fee does not include: transportation to the Camp.

If not registered - $240 at camp.
Only Saturday - $35 per person, included 2 meals - breakfast and lunch, and parking.

If a participant cancels their registration no later 1 week before the beginning of
the camp meeting, then the Registration Fee will be refunded completely.
Full refunds due to health emergency issues are also accepted.
Email
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Last Name
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First Name
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Date of Birth
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Address, City, State, Zip
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Phone Number
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Gender
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How many family members coming with you (excluding yourself)?
List your family members coming with you (please point children's age) 
Please choose your desired option
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Preferred payment option
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To pay online --->  https://adventistgiving.org/#/org/ANPPPG/envelope/start                                                              In category choose --> Local Church --> Cedar Falls Camp Meeting
Emergency contact name *
Emergency contact phone number *
Would you like to participate in the ministry? (optional)
Your expectations from Cedar Falls Camp? (optional)
Conditions for attending the Camp
You must read and agree with all our policies.
There is no smoking/drinking/use of any drug substances during the Camp stay.
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Required
An inappropriate behavior such as: violence, fighting, smoking, drinking, sexual activities in all its forms, fowl language, and the likes, is not acceptable and action will be taken immediately to exclude this participant from the event without a refund.
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Required
I understand that accidents and injuries may occur during participation in such activities, and that every reasonable effort will be made to provide reasonable care by the staff. In case of a serious injury that demands medical emergency, and emergency contact cannot be reached by phone I hereby give my consent to have myself transported to a hospital emergency room and the hospital and medical staff have my authorization to provide any treatment, at my expense, that a physician deems necessary for the well-being. I hereby waive and release Revival Center, Los Angeles, and its trustees, officers, employees, counselors, volunteers, agents and assigns from and against any and all present and future claims, costs, liabilities, expenses, or judgments, including attorney’s fees and court costs, resulting from any damage, loss, personal injury or illness and/or damage to my property arising from or out of my attendance, and/or participation in activities at 2023 Cedar Falls Camp. Please sign below (add your initials):
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