2022 Carolambda Registration

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We are so glad you have decided to join us this year.

2022 FEES

Total Registration & Deposit $150.00 per person ($25 + $125)

($25 + $150 if registering after 10/1/2022)

Remember to $$ PAY $$ for your registration OR deposit via PayPal by visiting: http://carolambda.com/registration.html

IMPORTANT

"PROOF OF COVID-19 VACCINATION REQUIRED UPON ARRIVAL"

IF UNVACCINATED, PROOF OF NEGATIVE COVID-19 TEST WITHIN 24-HOURS OF ARRIVAL OR AT ARRIVAL.

Registration includes all scheduled events, meals and lodging for the weekend.

Note all fields are required and you must accept the Camp Gravatt release of liability at the bottom.

Question Title

* 1. Attendee Information

Name (First Name, Last Initial) *

Sobriety Date

Facebook ID (optional)

Mailing Address

City/Town *

State/Province

ZIP/Postal Code

Email Address *

Phone Number

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* 2. Designation

Alanon

Other (please specify)

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* 3. Emergency Contact

Name

Phone Number

Question Title

* 4. ADDITIONAL ATTENDEE: (Spouse/Significant Other/Etc.)

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* 5. Allergies (If you have any allergies, reactions, and/or other medical limitations, please explain):

Question Title

* 6. Medication (If you are taking medication, prescribed or otherwise, please list):

Carolambda 2022 Recovery Weekend Rules*

I understand that participation in certain activities (including but not limited to ropes course, wildlife study, swimming, boating, archery, hiking, etc.) at Gravatt may be physically demanding. I affirm to the best of my ability that my health is good and that I'm not under physical care for any undisclosed condition that might endanger my health or that of other participants. I recognize the inherent risk of physical injury that could result from any of these activities. I release, discharge, and hold harmless Gravatt, it's employees and agents from any and all liability from any injury to me from participating in activities at Gravatt Camp & Conference Center. I give Gravatt staff permission, in case of emergency or injury, to administer standard first aid and/or arrange for transportation to a medial facility.

Question Title

* 7. Agree to Carolambda rules (clicking "Yes" below, you ARE digitally agreeing to the rules "Carolambda 2022 Recovery Weekend Rules and that this is legally binding as your signature.)

Yes

Thank you for registering online and we look forward to seeing for this year's event.

Please remember to return to carolambda.com after submitting this registration and then select the registration page to pay your deposit, full registration or make a scholarship donation! :-)

If you are finished entering your information, please click Done below. Then close out the Survey Monkey window.

Carolambda Committee
carolambdaroundup@yahoo.com
carolambda.com