Register for Alumni Reunion 2020 DUE TO COVID-19, THE ALUMNI REUNION IN JUNE 2020, IN SHREVEPORT, LOUISIANA HAS BEEN CANCELED. WE PLAN TO CELEBRATE OUR 30TH ANNIVERSARY NEXT SUMMER! Thank you for your understanding. Registration Form - Alumni Reunion Camp 2020 Registration for for Alumni reunion Alumni Reunion Registration Form - 30th Anniversary of Camp Jambalaya JubileeAlumni are original parents and diagnosed child camper. Current spouse or children of the original camper are invited to attend. Fees include all meals, lodging in Centenary College dormitories, and recreation for adults and children. Please register by May 15, 2020. Alumni - original diagnosed child camper* First Middle Last Diagnosis*Will you be able to attend the Alumni Reunion luncheon at 11:30 am on Friday, June 19?YESNOWill you be able to attend Opening Ceremonies at 1:00 pm on Friday, June 19?YESNOWould you be willing to serve on a panel to answer parent questions?YESNODo you have any comments to share about what camp meant to you or how it has helped you since?Would you be willing to answer questions in a teen small group?YESNOAlumni email address Enter Email Confirm Email Alumni Contact Info Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Will you bring a spouse?YesNoIf yes, spouse name: First Last Spouse T-SHIRT SIZEAdult SmallAdult MediumAdult LargeAdult X-LargeWill you bring any children?YesNoIf yes, child 1 First Last Date of Birth Child 1 Date Format: MM slash DD slash YYYY How old will Child 1 be on June 19, 2020?Child 1 T-SHIRT SIZEInfant/Toddler (no t-shirt)Child SmallChild MediumChild LargeIf yes, child 2 First Last Date of Birth Child 2 Date Format: MM slash DD slash YYYY How old will Child 2 be on June 19, 2020?Child 2 T-SHIRT SIZEInfant/Toddler (no t-shirt)Child SmallChild MediumChild LargeIf yes, child 3 First Last Date of Birth Child 3 Date Format: MM slash DD slash YYYY How old will Child 3 be on June 19, 2020?Child 3 T-SHIRT SIZEInfant/Toddler (no t-shirt)Child SmallChild MediumChild LargeWill you bring parent/guardians who attended camp with you? They may register and pay separately if you wish.YesNoIf yes, Parent/Guardian1 First Last Alumni - Parent/Guardian1 EMAIL ADDRESS Enter Email Confirm Email Alumni - Parent/Guardian1 T-SHIRT SIZEAdult SmallAdult MediumAdult LargeAdult X-LargeIf YES, Parent/Guardian2 First Last Alumni - Parent/Guardian2 EMAIL ADDRESS Enter Email Confirm Email Alumni - Parent/Guardian2 T-SHIRT SIZEAdult SmallAdult MediumAdult LargeAdult X-LargeNeed for Handicap Accessibility? No Yes Handicap accessibility for whom?Alumni who attended as a childAlumni who attended as a parent/guardianAlumni SpouseChild 1Child 2Child 3Any Allergies?Number of Dorm Rooms NeededOneTwoThreeFour* Each room has 2 twin beds. Please make a conscious effort to be economical with your selection – we typically assign 1 bed per person, but allow those with babies and young children to choose if they would like less rooms. Centenary College Dorms are set-up where 2 rooms connect to a shared bathroom. If a 3rd room is selected, that room will not be connected to the others. Each family will have its own room(s) and bathroom. Please specify any special accommodations needed to attend this event.Do you have any additional questions or comments?Alumni Reunion Registration Fees: $100/adult and $50/child, which includes your rooms, meals, and all of your activities. Please note there is a $1.50 charge to help cover our online payment fees. Total children 18 and under attending* Price: $50.00 Quantity: Total number of adults over 18 attending* Price: $100.00 Quantity: Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Billing Address (if different from above) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Cancellations must be received in writing by May 31 at 5 PM for a full refund. If a cancellation is received after that date, the registration fee will be considered a donation to Children And Arthritis, Inc. You will receive tax benefits for this donation to the full extent of the law. Questions/Concerns? Contact our Executive Director, Sheri Rowell Email: ChildrenAndArthritis@Gmail.Com Phone: (318) 200-0667 Post ImageSection Break