Christian Outdoor Alliance

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Camp Enrollment

**Form must be filled out by parent or guardian.

Camper Information:

Full Name:

Name Used:

Date of Birth:

School Attended This Year:

Social Security Number:

Hunting License Number:

Mailing Address:

City:

State:

Zip:

Email:

Home Phone:

Family Information:

Parent or Guardian:

Address:

City:

State:

Zip:

Email:

Home Phone:

Business Phone:

Mobile Phone:

Fax:

Sessions: Sessions are limited in space. Please mark your 1st and 2nd.

1st Choice

2nd Choice

Deposit Information

COA requires a $300 deposit with this application, which we will apply toward the camp fee. We will make no refunds for cancellations. If you are applying for a scholarship you can skip this step.

Absence / Withdrawal Information

The Directors reserve the right to dismiss any camper whose influence and conduct become in any way detrimental to the best interests of other members of this camp. THE CHRISTIAN OUTDOOR ALLIANCE WILL MAKE NO REFUNDS FOR CAMPERS DISMISSED FOR DISCIPLINARY REASONS. The Christian Outdoor Alliance will also make no tuition deductions for absences, for withdrawals before the end of the term, or for late arrivals. If a camper must withdraw from camp early on camp doctor’s orders due to injury or illness, COA will refund $100 for each week remaining.

Required Approval

I approved this application and all conditions stated, and hereby certify that my child is of good moral character.

Once you submit you will be taken to the deposit payment option screen. COA uses PayPal to accept online payments. You can pay with your PayPal account or a credit card. Click here for more information.

You must download the Participation Consent, Release And Indemnity Form. This form must be completed, signed and returned to the Christian Outdoor Alliance, PRIOR to the beginning of the event or trip described, or the student will not be allowed to participate. Click here for the form.

NEW CAMP DATE ADDED!

Winners of the 2009 Send a Kid to Camp Raffle

Grand prize:
Guided Whitetail Buck Hunt
2 whitetail bucks
2 Cull bucks
4 Does
Lodging
Meals
1-Year Membership to Texas Trophy Hunters Association

Winner: Albert Pedroza

1st Place:
Guided Combination Hog Hunt and Freshwater Fishing Trip Lodging
Meals

Winner: Ricky Albus

2nd Place:
Guided Combination Turkey hunt & Freshwater Fishing Trip Lodging
Meals

Winner: Ann Cooper

3rd Place:
Guided Day-Trip
Gulf Coast Bay Fishing

Winner: Chase Nunez

Thank you to everyone who participated in the 2009 Send A Kid to Camp Raffle Program. Over 60 boys and girls where reached through the 2009 COA Summer Hunting and Fishing Camps and much of that was made possible through your generosity and contributions to these kids.