EmailMe Form - Cheer Camp 2015

NORTHLAKE CHRISTIAN Cheer 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 "Cheer Camp" in the memo. You may print out the confirmation that you receive from this email and send it to:

NCS Attn: Tony Agresta - Cheer Camp
70104 Wolverine Drive
Covington, LA 70433
Before Care (7:00-8:30) $25/week or $5/day and After Care (3:00-5:30) $25/week or $5/day is available through CAMP NORTHLAKE.

(must note Before/After care on registration form and separate check or cash must be paid directly to Camp Northlake to utilize Before/After Care.)
i will need to utilize Camp Northlake:
Before Care
After Care
Both