EmailMe Form - Baseball Camp 2015

NORTHLAKE CHRISTIAN Baseball Camp
Camper's Name *
First Last
Camper's Age *
Birthdate *
MM / DD / YYYY
Home Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Current School
Parent #1 Name *
First Last
Parent #1 Daytime Phone: *
### - ### - ####
Parent Email: *
Parent #2 Name:
First Last
Parent #2 Daytime Phone:
### - ### - ####
T-Shirt Size:
YOUTH S
YOUTH M
YOUTH L
ADULT S
ADULT M
ADULT L
To Register, please send check payable to NCS with "Baseball Camp" in the memo. You may print out the confirmation that you receive from this email and send it to:

NCS Attn: Tony Agresta-Baseball Camp
70104 Wolverine Drive
Covington, LA 70433
For further information, please call
Tony Agresta at 985-635-0400 or email aagresta@northlakechristian.org
Before Care (7:00-8:30) $25/week or $5/day is available through CAMP NORTHLAKE.

After care is not available from Camp Northlake for half day camps unless you are already registered at Camp Northlake for the rest of the summer.
(must note Before Care on registration form and separate check or cash must be paid directly to Camp Northlake to utilize Before/After Care.)
i will need
Before Care