Camp you wish to register for:


Busride*:

*The bus will depart from and return to the Duluth Trading Company parking lot at 8931 Old Seward Hwy., Suite A Anchorage, AK 99515. The exact times will be sent you in your confirmation email or letter.

Camper: Birthday:
Gender: Male Female
Grade:
Parent/Guardian
Email:
Phone including area code (Numbers only please): Secondary Phone:
Street Address:
City: State: Zipcode:

Parental Notice and Release - Agreement is required for camper admittance

I/We, the undersigned, understand that while attending Solid Rock Bible Camp of Soldotna, Alaska (camp), the below-named child may be involved in various activities including but not limited to: horseback riding, water-skiing, the waterslide, swimming, boating, the Blob, riflery, archery, rope swing, the obstacle course, and other traditional camp activities. I/We have familiarized ourselves with these programs and activities included in, but not limited to, the Camp brochure.

In consideration of Solid Rock Ministries, Inc. allowing the child to attend Camp for the period specified and to participate in the activities of the Camp, I/we do hereby grant permission for the child to attend and to participate fully in said activities. I/We understand and accept the risks and dangers involved in such activities and do hereby release Solid Rock Ministries, Inc., its officers and directors, its employees, agents, and the Camp staff, from any and all claims, demands, actions, causes of actions of any sort, for injuries or death sustained by myself/ourselves or the child due to negligence or any other fault during the period covered by this release, whether such an injury occurred on or off the Camp property.

I/We have instructed my/our son/daughter to obey the rules of Solid Rock Bible Camp. This waiver is effective only for the week(s) for which the camper is registered.

Note: Your registration is not valid until the $50 non-refundable registration fee is received. (This $50 DOES go towards the cost of the camp)
You must at least pay $50, but you may pay up to the full amount of the camp. Any remaining amount will be due the day of registration.

Use a credit card:

Amount to pay: $

Name on Credit Card: Credit Card Billing Zip Credit Card Type:
Credit Card # Credit Card Verification Code: Credit Card Expiration: /

OR

Send a check