CAMP SCHEDULE & FEES
Camp runs from 8:00am – 3:00pm
$ 50.00 Registration fee per child – no discounts (non-refundable)
$150.00 per week , includes lunch
$175 per week includes lunch and after care until 5:30pm
Before care:
7:00-8:00am - $1.00 due daily when child arrives
(If paid in advance, no refunds are given for un-used days)
Please check the 2 week minimum plus any additional weeks. Weeks do not have to be consecutive.
Child's Name
*NCS does not discriminate among candidates for admission or employment on the basis of race, color, gender or national origin.
Northlake Christian School 70104 Wolverine Drive Covington, LA 70433
Phone: 985-892-2683 * Fax: 985-893-4363
Copyright Northlake Christian School, all rights reserved.
Suggestions on the website? Email the webmaster.
You may apply ON-LINE by completing the form below, or you can DOWNLOAD AND PRINT out the application and mail it or hand deliver it to the office. Please note that your application will not be considered complete until we receive your registration fee and camp tuition. YOU WILL HAVE THE OPTION OF PAYING VIA PAYPAL AFTER YOU REGISTER. If you choose to pay by check, Please mail checks to Camp Northlake, 70104 Wolverine Drive, Covington, LA 70433. PLEASE COMPLETE ONE FORM PER CHILD. Fields marked in BLUE are required.
Email required. This will be our primary means of communication for announcements, newsletters, etc.
REQUIRED FEES and PAPERWORK:
When you submit your application, we require that you include:
- 2-weeks tuition fee ($150 per week, per child OR $175 per week, per child, including after care)
- Registration Fee ($50 per child) - No Discounts; Non-refundable
- T-Shirt Fees ($8.00 per t-shirt; NO free t-shirts included with registration fee)
- And the complete application per child.
You may elect to pay for these fees on-line by selecting the PayPal option on the next screen.
Applications will be processed when all fees are received. Fees for additional weeks are due and payable in advance on Monday of each week. Please put your child’s name on each check/payment.
T-SHIRTS
Your child will be required to wear a camp T-shirt each day. NO SHIRTS are included with the registration fee. For each shirt, the cost is $8.00. CAMPERS MAY WEAR THEIR 2008 MAROON CAMP T-SHIRTS.
Please indicate number of T-shirts desired for this camper.
Please indicate size t-shirt(s) for this camper.
Parent’s Agreement:
I hereby give authority to Northlake Christian School (Camp Northlake):
1. To care for my child during the time he or she is in the facility.
2. To secure emergency medical care for my child in case of the inability of the Camp to reach me.
Child's Doctor
Doctor Phone:
By typing your name in the box, you understand and agree that you are responsible to pay for the week(s) that your child is registered whether he/she attends all week or not. NO REFUNDS AFTER MAY 1, 2009.
To submit this online application, please type in your Name and email address once again.
YOU WILL HAVE THE OPPORTUNITY TO PAY YOUR REGISTRATION/TUITION/T-SHIRT FEES ONLINE AFTER SUBMITTING THIS FORM.
Name:
Email Address:
Home Phone
Home Address
City/State/Zip
Grade Entering
Current School Attending
Age
Sex
List any allergies,
disabilities or other
special needs your
child may have.
Email
At least one primary guardian's information is required.
Mother's Name
Mother's Place of Employment
Mother's Work Phone
Mother's Cell Phone
Father's Name
Father's Place of Employment
Father's Work Phone
Father's Cell Phone
Child Lives with:
If other, please answer:
If parents are separated or divorced, who has legal custody of the child?
Emergency Contact
Relationship to Child
Emergency Phone
Emergency Contact's Cell Phone
How did you hear about us? (Former Camper; Saw ad in the paper; saw website, etc.)
