Summer Camp 2018 Registration

Waiver*

I have digitally signed and agree to the official NLand participation and media release waiver.

Camper's Name*

First Last

Parent/Guardian Name*

First Last

Camper's Age*

Camper's Gender*

Camper's T-Shirt Size*

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Choose your 5-day week(s)*

June 4th-8th
June 11th-15th
June 18th-22nd
June 25th-29th
July 23rd-27th
July 30th-August 3rd
August 6th-10th

We will offer a 15% family discount for all additional siblings enrolled and a 15% multi-session discount will be applied to all subsequent sessions following a camper’s initial week. Please call to book with discount.

Medical Concerns*

All campers must have a current physical and be proficient swimmers to participate. Please alert us to any additional medical concerns or food allergies.

Medical Consent*

I authorize NLand to obtain medical treatment for my child.

Transportation Add-On*

Yes, we'd like transportation
No thank you

Transportation is now available from O.Henry Middle School for an additional $75. Pick up 8:30am, drop off at 4:30pm Please sign up here if you’d like transportation (you’ll be asked to pay later).