Nosoca Pines Ranch Application Form PDF Details

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.

QuestionAnswer
Form NameNosoca Pines Ranch Application Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namestithes, nprcarolinasda, nosoca application, pines ranch application

Form Preview Example

2016 Nosoca Pines Ranch Camper Application

Online registration available at www.nosoca.org

Phone: 803-273-8200

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

 

 

 

 

 

Primary Phone ___________

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

State

 

 

Zip

 

 

Email

 

 

 

 

 

 

 

 

 

 

 

 

Additional Parent

 

 

Primary Phone _____________________

Phone

 

 

 

 

 

 

 

 

 

Alternate Contact

 

 

Relationship to Camper_______________

Primary Phone

 

 

 

 

 

 

 

 

 

CAMPERS NAME

 

 

 

Sex

 

DOB ______ / ______ / ______ Age on Sept 1, 2015 ________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Carolina Conf. Seventh-day Adventist? Yes ____ No ____ Carolina Conf. SDA Church Membership __________________________________________

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, x-rays, hospitalization, anesthesia, and/or surgery. As parent or legal guardian, I am in favor of the person attending camp and participating in all activities unless otherwise specified. I accept the conditions stated, including the release of the Carolina Conference and camp management from liability in case of accident or illness. I do support and applicant agrees to abide by all camp regulations and policies and I understand that when a camper chooses not to abide by the camp policies, they may be asked to leave with no refund. Also, I give permission for the applicant's picture, while participating in camp activities, to be used brochures, publications, slides, and videos promoting Nosoca Pines Ranch.

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.

 

 

 

 

 

___ Aerospace

___ Mountain Biking

___ Climbing Wall

___ Mountain Boarding

___ Photography

___ Cross Training

___ Wilderness Survival

___ Horsemanship

___ Christian Drama/Signing

___ RC Cars

___ Swimming

___ Gymnastics

___ Water Sports

___ Crafts

 

 

 

 

 

 

Camper's Choice:

A camper must be the age listed for each camp by September 1, 2014 in order to attend any camp.

Traditional Camps

 

 

 

Specialty Camps

 

 

 

 

 

 

 

 

 

Price: $410.00 or $243.00 for Carolina Conf. SDA

 

Price: $475.00 or $273.00 for Carolina Conf. SDA

 

 

___ Adventure

7-11 years

June 19-26

 

___ SIT Camp

16-17 years

June 12-24

 

___ Junior

10-13 years

June 26 - July 3

 

___ Horseman I

12-16 years

June 19-26

 

___ Teen

13-16 years

July 3-10

 

___ Horseman II

13-16 years

June 26- July 3

 

 

 

 

___ Horseman III

13-16 years

July 3 - 10

 

 

 

 

 

___ Sports Camp

13-16 years

June 26-July3

Horseback Mountain Trip

 

 

___ Water Sports

13-16 years

June 26 - Ju

 

Price: $520 or $345.0000 for Carolina Conf. SDA

 

 

 

 

 

___ Horse camping

13-16 years

May 29-June 3

 

 

 

 

 

 

 

 

 

 

Trip

 

 

 

 

 

 

 

 

 

 

 

There is a non-refundable deposit of $50 due with application.

 

 

 

 

 

Method of Payment

____ Check

____ Money Order ____ VISA ____ MasterCa

 

Payment Includes:

 

 

 

 

 

 

Camp Fee

$_________

______ /______ /______ /______

_______

 

 

Deposit

$_________

 

 

 

 

 

 

 

Credit Card Number

 

Exp. Date

Person Paying (Please Print)

 

Store

$_________

_______________________________________

_______

 

 

Donation

$_________

Authorized Signature

 

Date

Checks or Money Orders should be made

Amount Enclosed

$_________

 

payable to Carolina Conference of SDA.

 

 

 

 

 

 

$_________

Card Holder Zip Code ____________________

 

 

 

Balance Due

 

 

 

 

 

 

 

 

We are grateful to the 100+ Seventh-day Adventist churches and their members in the Carolina Conference who support Nosoca Pines Ranch through their tithes and offerings.