Camp NOAH Registration

Join us for an unforgettable experience at Camp NOAH Summer Camp

Celebrating THIRTY Years!

July 14 – 20, 2024

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Camper Name

 *
Address (Street, City, State, Zip) *
Camper Phone, including area code (if applicaple)
Camper Email (if applicaple)
Parent Name *
Parent Email *
Parent Phone, including area code *
Second Parent Name
Second Parent Email
Second Parent Phone, including area code
Emergency Contact (Name, Relation, and Phone Number) *
Camper Birthday *
MM
/
DD
/
YYYY
Camper Age at the Start of Camp (July 14, 2024) *
Camper Gender *
Please check THREE classes to take during our Activity Periods.  Some classes fill up and are available on a first come basis.  Please note there are seperate swim times for girls and boys.  Class Descriptions can be found on the main page of our website. *
Required
Alternate Class Option (this is used in case first options are full) *
 Tshirt Size *
How will you be making payment for camp? Please remember payment is due upon arrival at camp (preferably sooner!). *
Is this camper new to Camp NOAH? *
Does your camper have food allergies?  If yes, please list below. *
Does your camper take medication? Please note all medication needs to be written out on the Medical Form and handed to the nurse at check-in. *
Is there anything about your camper that we would need to know to help make camp a success for them as well as others? *
I understand that my camper cannot bring any electronic or communication devices that connect to the internet or are used in any way to communicate with others.  A paper bible is required. If my camper breaks this rule, they will be sent home. *
I understand that pictures will be posted throughout the week of camp on our private Facebook page.  This is a private group, that only current campers and alumni have access to.
 *
I give permission for pictures of my camper to be put on our website (campnoahohio.org). *
I understand the dress code for Camp NOAH is one of modest dress.  Shorts must cover the knee, shoulders must be covered, and no tight fitting or revealing clothes are to be worn.  No muscles shirts and leggings without coverings are to be worn.  Clothing must not have inappropriate content.  My camper may be asked to change if their dress is considered against these rules. *
I understand that my camper and a parent must read the Handbook.  Signatures stating the Handbook has been read is required by parent and camper.  *
The following are required to be turned in at Camp Drop off:

- Handbook Form signed by parent and camper
- Medical Release Form SIGNED BY PHYSICIAN AND NOTARIZED
- Electronics (ie. smart devices or other communication devices) and Car Keys if applicaple
 *
We look forward to seeing you at Camp NOAH 2024!
Please be on the lookout for a confirmation email that you have registered your camper.  You will also be emailed information about how to prepare for camp, what to expect at Drop Off, and Pick Up.  If you have any questions or concerns, please contact Derek Coulson (Camp President and Director).  Contact information is below:

Cell Phone - 214.766.8007
Email - derekwcoulson@gmail.com
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