We are so excited that you are joining us at 2020 NC Nazarene Kids Camp! An improved schedule, with more time for popular activities, chances to spend time with your friends, new events, wonderful food, great worship time, messages and discussion time with Trey and Candice Brooks will make this a great part of your summer, faith and life!
NC Nazarene Kids Camp, June 29- July July 3, 2020
More details may be found on the SDMI page at NCNaz.org.
Camp Fee is $225 through May 22, $275 after. Deposit of $50 may also be made to hold your spot. If the camper is registered by May 22, there is a sibling discount for multiple campers in 1 family and a worker discount (1 per adult camp worker if no sibling discount is taken). You may send a church check for the deposit or full amount for each camper, made to "NC Nazarene Kids Camp" to Pastor Joe Bell, Eastside Church, P.O. Box 550030 Gastonia, NC 28055. You may also pay online through PayPal at https://esnaz.us/give1 (Add a $5 fee to payment amounts (include camper names!)). *
Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Grade You Have Completed 2018-2019 *
The Grade You Just Finished
Gender *
(M for Male, F for Female)
Required
Street Address *
Your answer
Zip Code *
Your answer
Email Address *
An email Address where we can contact your family
Your answer
Home or Parent Phone Number *
704-824-7060 format
Your answer
Shirt Size *
Parent or Guardian's Name *
We may call to verify the application with this person
Your answer
Parent or Guardian's Phone Number Where We Can Reach Them *
Your answer
Home Church of the Nazarene *
The North Carolina Church of the Nazarene congregation you are going to camp with. You cannot come without a sponsoring church. We WILL contact your church.
Your answer
Health Insurance Provider (Company)
Your answer
Health Insurance Company Policy Number(s)
Your answer
Any medication (with dosage and instructions) your camper normally takes and if you will be taking it at camp.
(Please send these in their original containers in a marked zip-lock bag for your camper to give to our medical staff to hold during camp. Any emergency meds, such as an epi pen or inhaler, will be held by the camper's counselor during camp.)
Your answer
Trained Camp Medical Staff have my permission to administer these over-the-counter medications as necessary. *
Any allergies, other dietary needs or psychological/emotional/behavior issues we should be aware of to help you at camp
If you don't list it, we can't plan for it.
Your answer
Anything else we need to know to make your camp as great as possible?
Your answer
Camper's Agreement (Check all boxes) *
Required
Camper's Signature & Date *
Your answer
Parent's Permissions *
Required
Parent's Signature & Date *
Your answer
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