2018 NCUUCC Family Camp Registration Form
Please complete and submit the registration form. After submitting your form, you should expect to receive an invoice within 3-5 days.
Ira Nelken (
Camper 1 Information
Camper 1 First Name
Camper 1 Last Name
Camper 1 Email
Which week(s) are you attending?
Week 1, July 8-14 (Week 1 is FULL!!)
Week 2, July 15-21
Can we add Camper 1 Email to the NCUUCC email list?
We promise we won't bother you except for official NCUUCC business.
Sure, please do!
EB: Early Bird (Must be paid in full by April 15)
IN: Installment (Half paid on Registration before May 1, second half paid by June 1)
LA: Late (Half paid by June 1, second half Paid by July 1)
AC: At camp penalty (Half paid on Registration, second half paid at camp upon arrival)
Cleaning deposit (and staff deposit if on staff) must be sent in by the appropriate deadline for registration to be final.
Camper 1 Age Group & Tuition
*Each group needs to send a $50 refundable cleaning deposit. Campers must participate in camp clean up on Saturday at the end of the week and be checked by a Dean to be eligible to receive refund.
Adult EB (19-64): $450 per week
Adult IN (19-64): $500 per week
Adult LA (19-64): $570 per week
Adult AC (19-64): $620 per week
Teen (13-18), Senior (65+), Full-time Student EB: $350 per week
Teen (13-18), Senior (65+), Full-time Student IN: $405 per week
Teen (13-18), Senior (65+), Full-time Student LA: $475 per week
Teen (13-18), Senior (65+), Full-time Student AC: $525 per week
Child EB (6-12): $270 per week
Child IN (6-12): $305 per week
Child LA (6-12): $375 per week
Child AC (6-12): $425 per week
2 - 5 years old: $90 per week
Under 2 years: $65 per week
Camper 1 Birthdate
If Camper 1 is 18 or younger, please provide a birth date so we can plan appropriate activities.
Is Camper 1 applying for a staff position?
For kitchen positions, email
. For other all other staff positions, email
. For more information, go to
Yes (please explain below)
Camper 1 staff position detail
When you're confirmed as a staff member, you will need to send a staff commitment deposit of $100 (in addition to cleaning deposit).
Camper 1 Dietary Restrictions, if applicable
A reasonable effort will be made by kitchen staff to accommodate dietary requirements.
Camper 1 Family Camp T-shirt size
Adult XXL L/S (+$5.00)
Adult XXL S/S
Adult XL L/S (+$5.00)
Adult XL S/S
Adult Large L/S (+$5.00)
Adult Large S/S
Adult Medium L/S (+$5.00)
Adult Medium S/S
Adult Small L/S (+$5.00)
Adult Small S/S
Child Large L/S (+$5.00)
Child Large S/S
Child Medium L/S (+$5.00)
Child Medium S/S
Child Small L/S (+$5.00)
Child Small S/S
No shirt, please
Camper 1 Family Camp sweatshirt size
Adult XXL (+$40.00)
Adult XL (+$40.00)
Adult Large (+$40.00)
Adult Medium (+$40.00)
Adult Small (+$40.00)
No sweatshirt, please
Do you want a Family Camp apron for Camper 1?
Yes, I'll take one! (+$20.00)
No apron, please
Add another camper?
No thanks, I'm done.
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