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NFNC Summer Camp 2019 WAITLIST Form


Registration is now closed. This is the Waiting List!
Please fill out the registration form, and you'll be put on the waiting list.
Should you be invited, we will request that you send a check for the camp fee,
which is a sliding scale from $600 - $1000.

(fields marked * are required)

10 Day Summer Camp - August 9 - 18

Waiver Release Form

Please note that you must sign the following waiver release form when you first arrive on site, before you will be admitted to camp:

“I understand that Summer Camp will offer a variety of activities that can be physically, mentally, and emotionally challenging. The level of my participation in any of the activities is at all times completely my choice. I may stop or say “no” at any time. In the event of an emergency, I give the Summer Camp 2019 staff permission to call an ambulance or physician. I release the Summer Camp staff, NFNC, and NCI from all liability for any injury to me resulting from my participation. This release also applies to the minors listed on this registration form for whom I am responsible.”

Name and Address
Name *
Address *
City *
State/Prov. *
ZIP/Postal Code *

Contact Info
Home Phone (please enter at least
Mobile Phone one phone number) *
Email *
Emergency Contact Name *
Emergency Contact Phone *
Your Date of Birth // *

Allergies & Food Preferences
No Eggs No Dairy No Gluten/Wheat No Peanuts No Soy
Allergies / Comments

We’ll do our best to accomodate you.


Children

Children under 18 (accompanied by an adult) are welcome at camp for free.

Full Name of Child I’m Bringing Date of Birth
1 //

Staying in Touch
I want to subscribe to the 2019 Camper eList to meet campers, arrange rides, and get news before camp starts:
yes

We’ll create a photo contact sheet that will later be sent to all 2019 summer campers. Please checkmark any items you DO NOT WANT to appear on the contact sheet.

Do not include:
My Photo My Name My Address My Email My Phone

Comments, Questions and Concerns
Anything else?

In the future, I prefer to go paperless, interact over email, and save trees!
yes

Should space open up for you at camp, a packet will be emailed to you by mid-July with a map, directions, and last minute news.
Nearest Airport is in Medford, OR. (25 miles away)

Questions? Contact sc19w@nfnc.org or 800.624.8445