CAMP SCHEDULE & FEES
Camp runs  from 8:00am – 3:00pm    

$ 50.00 Registration fee per child – no discounts (non-refundable)
$165.00 per week , includes lunch and snack
$190 per week includes lunch, snack, and after care until 5:30pm

Before care:
7:00-8:00am - $10.00 per week or $3 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 ($165 per week, per child OR $190 per week, per child, which includes after care) - PAYABLE VIA PAYPAL or via check.
  • Registration Fee ($50 per child) - No Discounts; Non-refundable
  • T-Shirt Fees ($8.00 per t-shirt; Shirts from previous summers may be worn)
  • 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 CAMP SHIRTS FROM PREVIOUS SUMMERS.

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, 20010.



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.)

MaleFemale
Both ParentsFatherMotherOther
Week 1: May 31-June 4
Week 2:  June 7-11
Week 3:  June 14-18
Week 4:  June 21-25
Week 5:  June 28-July 2
Week 6:  July 5-9
Week 7:  July 12-16
Week 8:  July 19-23
Week 9: July 26-30