Camp 180 - North Coast Church

CAMP180

Looking to sponsor a Youth? Click here.

Camper Name*
First Last
Birthday
DD slash MM slash YYYY
Gender*
School Year*
Medical Conditions
Dietary Requirements
Parent/Guardian Names*
Your Email*
Emergency Phone*
I hereby consent and agree for North Coast Youth to take photographs and video footage of my child/children and to use these in future Camp 180 promotion material and North Coast Youth social media.
I consent to the provision of first aid and the provision of analgesics in the case of my child/children requiring medical treatment or the in case of a medical emergency. I authorise North Coast Youth, where it is impracticable to communicate with me, to arrange for my child/children to receive such medical or surgical treatment or ambulance transport as may be deemed necessary. I undertake to pay any costs that may be incurred for the medical treatment, ambulance transportation and medications.
Are you able to Sponsor a youth for camp?
As you can imagine not everyone can afford to attend this camp but would love to. If you are able to sponsor a youth (or 2), we would really appreciate your generousity. No pressure though, this is only for those who can.
Total
$ 0.00
Credit Card
Card Details
Cardholder Name
Name
This field is for validation purposes and should be left unchanged.