Join us at the Aloha Music Camp Fall 2023 Retreat. Registration Form Dates: October 20–22, 2023 Please enable JavaScript in your browser to complete this form.For whom are you registering?I am registering just for myselfI am registering for two or more, including myselfYour Name *FirstLastYou are the master account holder for this registration.Your Email *EmailConfirm EmailPlease enter your email address VERY carefully.Have You Been To AMC Before? *I have been beforeI am a new CamperHow Did You Find Aloha Music Camp?Please let us know how you found out about Aloha Music Camp.Your Address Type *I have a United States addressI have an international addressYour Best Contact Phone Number (US) *Please include your area code.Your Best Contact Phone Number (Non-US) *Please include your country code.Address (US) *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAddress (International) *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryAre You A Human? Drag The Slider To Number Six Selected Value: 3 Sorry, we have to check that you are a human to keep the bad bots out!AMC Fall Retreat 2023 Terms and Conditions Important Information Before you register for AMC Fall Retreat 2023, we ask that you read carefully the following important information and policies. Then select whether or not you agree in order to continue your registration. Partial Payment Policy There is no partial payment policy for this event. Refund Policy If AMC Fall Retreat 2023 has to be cancelled because of California State, County, or other government regulations, or curtailment of transportation (i.e., if the Governor restricts inbound travel or decrees unsupportable size limits on public gatherings), we will refund your tuition in full. If you cancel by October 1, 2023, you will get a Full Refund. If you cancel between October 2 and October 16, 2023, you can get a 50% Refund. We are unable to offer refunds after October 16th. If there are extenuating circumstances, please Contact Us. Travel Insurance We recommend that everyone purchase Travel Insurance that includes Covid-19 protections, which will cover the travel portion of your costs, though not the Camp fees. COVID Vaccination For the protection of everyone involved, we are asking that all participants be fully vaccinated before Fall Retreat commences. Hotel & Travel Costs Aloha Music Camp Fall Retreat 2023 fees do not include the cost of travel or hotel for the week. You may book to stay wherever you wish; we have provided some recommendations on our main Fall Retreat Page. Alternate Payment Methods We prefer online payment by credit or debit card via our secure payment processor, Stripe; if you need to pay by check instead, please contact our Registrar via our Contact Us form to make arrangements. Please keep in mind that if Fall Retreat is close to selling out, a credit card deposit will ensure your spot immediately and is faster than a check. Release In making my application to the Aloha Music Camp Fall Retreat, I hereby release the Aloha Music Camp and Mohala Hou Foundation and their officers, agents, and employees from any and all liability, claims, lawsuits, damages, losses, costs, and expenses of any kind which arise out of or result from my attendance at the Aloha Music Camp, whether or not foreseeable, including, without limitation, personal injuries to me. With my attendance at this event, I realize that I may be included in publicity photos or videotapes in future promotional materials. I hereby give my consent to the Aloha Music Camp’s producers to use any such photos, videos, or comments. Agreement To Terms and Conditions *Yes I AGREE to the aboveNo I DO NOT AGREE to the aboveSelect Your Ticket TypesSelect from the options presented below and make your payment using our secure Stripe payment system which accepts all major credit cards. You will be emailed a receipt and the address of the event immediately following your purchase.Registration TicketFull Camper 1 - $600.00THIS TICKET IS FOR YOURSELF, PAYING IN FULL TODAYYour CAMP NAMETAG *Enter the name you wish to have printed on your AMC name tag. This does not have to be the name on your government-issued ID.Additional Registration TicketsFull Camper 2 - 100% - $600.00Full Camper 3 - 100% - $600.00Full Camper 4 - 100% - $600.00ADD THESE TICKETS FOR OTHERS BESIDES YOURSELF, PAYING IN FULL TODAYCamper 2 Nametag NameEnter the name you wish to have printed on Camper 2's AMC name tag.Camper 3 Nametag NameEnter the name you wish to have printed on Camper 3's AMC name tag.Camper 4 Nametag NameEnter the name you wish to have printed on Camper 4's AMC name tag.We are sorry that the Terms and Conditions were not agreeable to you. You are still welcome to submit this form if you wish for us to contact you about working through another registration attempt; or you may simply close your browser tab or window to exit this form. We understand that some Campers may be hesitant to commit to travel and/or participation in public gatherings, and we respect that everyone must act according to his/her own comfort level. Be assured that we are keeping abreast of all government guidelines and best practices to make our event as safe as we possibly can. And if you feel that you can’t attend this year, know that we will miss you and look forward to seeing you among us in the future! Mahalo for your time. Aloha.Total$0.00Stripe Credit Card *CardName on CardPLEASE BE PATIENT when the payment is being processed. It may take up to a minute when many folks are registering at once. Do NOT refresh your page while processing. Mahalo.Submit