2016 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.

Registrars:
Ira Nelken (iranrich01@aol.com)
Jane Gehrke (jane.gehrke@gmail.com)

Camper 1 Information
Camper 1 First Name
Your answer
Camper 1 Last Name
Your answer
Camper 1 Email
Your answer
Which week(s) are you attending?
Required
Can we add Camper 1 Email to the NCUUCC email list?
We promise we won't bother you except for official NCUUCC business.
Tuition Rates/Deadlines
EB: Early Bird (Must be paid in full by April 15, 2016)
IN: Installment (Half paid on Registration before May 1, second half paid by June 1, 2016)
LA: Late (Half paid by June 1, second half Paid by July 1, 2016)
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.
Camper 1 Birthdate
If Camper 1 is 18 or younger, please provide a birth date so we can plan appropriate activities.
MM
/
DD
/
YYYY
Is Camper 1 applying for a staff position?
For kitchen positions, email cooks@ncuucc.org. For other all other staff positions, email deans@ncuucc.org. For more information, go to http://www.ncuucc.org/calendar/family-camp/staff/
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).
Your answer
Camper 1 Dietary Restrictions, if applicable
A reasonable effort will be made by kitchen staff to accommodate dietary requirements.
Your answer
Camper 1 Family Camp T-shirt size
Camper 1 Family Camp sweatshirt size
Do you want a Family Camp apron for Camper 1?
Add another camper?
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