NSC Kid's Camp Details (Student Registration)

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Cost: $125

When: June 12th - 15th

Where: Eagle Ridge Retreat Center
Who: Kid's finishing the 3rd - 6th grades

Registration Opens: May 1st Registration Closes: May 29th

Contact Information: Rebekah Tinsley | 931.212.5687 | rftinsley@gmail.com

Registration Process

Parent/Guardian - or - Youth Leader/Pastor:

1. Digitally submit ONE Individual Student Registration KC'23 PER child

2. Mail* in a NOTARIZED Medical Release Form

3. Mail* in $25 Pre-Registration Fee** (remaining $100 is due upon arrival)

Youth Leaders/Pastors:

1. Fill out ONE Church Registration KC'23 Form

* Mail to: Rebekah Tinsley, 4006 West Green Hill Road; McMinnville, TN 37110

**Pre-registration fees are non-refundable, but may be transferred in the case of an emergency. All registration forms and pre-registration fees are due by May 29th in order to meet our t-shirt and supply order deadlines. Any registration processed after May 29th may not receive a shirt of preferred size or supplies matching the other campers. Also, any registration processed after May 29th is COMPLETELY contingent upon staffing and housing availability.

Student Full Name: *

Student DOB: *

YYYY

Please Choose Student Gender: *

Male

Female

Please Choose Student Grade Level: *

FInishing 3rd

Finishing 4th

Finishing 5th

Finishing 6th

Please Choose Student Shirt Size: *

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult XLarge

Adult XXLarge

Adult XXXLarge

Roommate Request (subject to housing needs): *

Student Address: *

Parent/Guardian Name: *

Parent/Guardian Email *

Parent/Guardian Phone Number: *

Preferred Method of Parent/Guardian Contact: *

Phone Call

Text Message

Name of Church Student will Attend with: *

Name of Church Pointperson: *

Church Pointperson's Email: *

Church Pointperson's Phone Number: *

I understand that I must pay $25 on or before May 29th, with the remaining $100 due upon arrival. *

Yes

Required

I understand that I must I must submit a NOTARIZED Medical Relief form (physical copy) in order for my student to attend Kid's Camp 2023. *

Yes

Required

Medical Release Form

Please click on the link and print a copy to be notarized and submitted.

Submit

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