2023 Primary Campers

2023 Primary Campers Please complete this online registration for each camper separately. ** Please note: Registration is not complete until payment is received. Partial payments can be made online now, minimum $50, please to save your spot. Payment can be mailed by check to camp director, see parent instruction page (not recommended). Registration opens May 1, 2023 and closes July 17, 2023. If you have a child to register for Middler or Pre-Teen camp(s), please go back to nwonazkids.org to register them.

Camper Information

* Child First Name

* Child Last Name

* Child Email

* Child Address

Child Address 2 (Apt/Suite # etc.)

* Child City

* Child State/Province

* Child Zip/Postal Code

* Child Gender

* Child Birth Date

* Child T-shirt Size

* Child Grade Completed this Summer

* Child Family Role

* Child Local Church

* Child Camper has read and agrees with the camp rules.

Parent Information

- Information of parents/gaurdians

* Child Parent / Gaurdian Name(s)

* Child Mobile Phone

* Child Mobile Carrier

Child Work Phone

* Child Emergency Contact (Name & Phone#)

* Child Pick-up Person(s)

* Child Parent(s) has read and agrees with the camp rules.

* Child Payment Options

Medical Information

- Parent/ Guardian Waiver/ Permission Form and Medical and Civil Liability Release Form. If no insurance, please write N/A (Not applicable) in the appropriate fields.

* Child I have read the medical release on the website.

* Child Medical Insurance

* Child Insurance Company

* Child Insurance Phone Number

* Child Insurance Policy #

* Child Insurance Plan ID

* Child Insurance Group #

Child Allergies to Medication

Child Medical Condition(s)

* Child Allergies-Other

* Child Allergies to Food

* Child Note any handicap

* Child Infections/ Disease

Child Restricted Activity

Child Medications

* Child Special Instructions

Child Other conditions

* Child Photo Release

Camper Information

Parent Information

Medical Information

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