The Nosoca Pines Ranch Application form serves as a vital gateway for young campers aiming to secure a spot in the exciting wilderness and Christian-based activities offered at the ranch each summer. With options available for online registration on their website, this form outlines a straightforward process calling for essential personal information starting from basic contact details of the primary contact and any additional parent or alternate contact details, focusing on ensuring a smooth communication channel. It meticulously captures the camper's name, date of birth, age, and religious affiliation, specifically asking if the applicant is a member of the Carolina Conference of Seventh-day Adventists to possibly avail special pricing. A key section on this form is the authorization and consent for medical treatment, which underscores the camp’s commitment to the safety and well-being of its attendees by requiring a primary parent's signature upon registration day, reinforcing trust in the event of any emergencies. Furthermore, the form delves into camper health records, stressing the importance of up-to-date health information for the camper's safety. Campers are also given a choice in selecting from a diverse list of classes and camps that range from traditional programs to specialty and adventure camps, reflecting Nosoca Pines Ranch's effort to cater to varied interests and ensuring a beneficial and enjoyable experience. The pricing is laid out clearly, with special rates for members of the Carolina Conference SDA, coupled with the mention of a non-refundable deposit, payment methods including detailed instructions for checks or money orders, and a section dedicated to donations, highlighting the community's role in supporting the ranch. Through this comprehensive application process, Nosoca Pines Ranch not only prepares for the logistical aspects of a camper’s stay but also builds a foundation of trust and safety, ensuring a memorable camping experience.
Question | Answer |
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Form Name | Nosoca Pines Ranch Application Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | tithes, nprcarolinasda, nosoca application, pines ranch application |
2016 Nosoca Pines Ranch Camper Application
Online registration available at www.nosoca.org
Phone: |
Email: npr@carolinasda.com |
Website: www.nosoca.org |
One application per camper per week (you may copy or download online if additional applications are needed).
Primary Contact |
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Primary Phone ___________ |
Phone |
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Mailing Address |
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Additional Parent |
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Primary Phone _____________________ |
Phone |
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Alternate Contact |
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Relationship to Camper_______________ |
Primary Phone |
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CAMPERS NAME |
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Sex |
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DOB ______ / ______ / ______ Age on Sept 1, 2015 ________ |
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Carolina Conf.
You will receive the following consent form to be signed on Sunday of registration by the Primary Parent:
Authorization and Consent for Medical Treatment: In case of illness or in an emergency, I hereby give permission to the physician selected by the
camp directors, to secure proper treatment for my child including: ordering injections,
Camper Health Record: To ensure current health information and camper privacy, the camper health for will need to be brought with you at Sunday registration.
Junior Camp Class Selections: |
You get two classes out of your top four choices. Choose your top four. |
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___ Aerospace |
___ Mountain Biking |
___ Climbing Wall |
___ Mountain Boarding |
___ Photography |
___ Cross Training |
___ Wilderness Survival |
___ Horsemanship |
___ Christian Drama/Signing |
___ RC Cars |
___ Swimming |
___ Gymnastics |
___ Water Sports |
___ Crafts |
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Camper's Choice: |
A camper must be the age listed for each camp by September 1, 2014 in order to attend any camp. |
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Traditional Camps |
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Specialty Camps |
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Price: $410.00 or $243.00 for Carolina Conf. SDA |
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Price: $475.00 or $273.00 for Carolina Conf. SDA |
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___ Adventure |
June |
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___ SIT Camp |
June |
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___ Junior |
June 26 - July 3 |
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___ Horseman I |
June |
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___ Teen |
July |
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___ Horseman II |
June 26- July 3 |
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___ Horseman III |
July 3 - 10 |
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___ Sports Camp |
June |
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Horseback Mountain Trip |
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___ Water Sports |
June 26 - Ju |
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Price: $520 or $345.0000 for Carolina Conf. SDA |
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___ Horse camping |
May |
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Trip |
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There is a |
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Method of Payment |
____ Check |
____ Money Order ____ VISA ____ MasterCa |
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Payment Includes: |
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Camp Fee |
$_________ |
______ /______ /______ /______ |
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Deposit |
$_________ |
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Credit Card Number |
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Exp. Date |
Person Paying (Please Print) |
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Store |
$_________ |
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Donation |
$_________ |
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Authorized Signature |
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Date |
Checks or Money Orders should be made |
Amount Enclosed |
$_________ |
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payable to Carolina Conference of SDA. |
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$_________ |
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Card Holder Zip Code ____________________ |
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Balance Due |
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We are grateful to the 100+