Are you looking for an exciting opportunity to live and work at the picturesque Nosoca Pines Ranch? If so, you'll need to fill out our application form in order to be considered as a potential resident. At Nosoca Pines Ranch we provide beautiful space with plenty of room to explore while connecting with nature - all while receiving comfortable job security throughout your stay. Our ranch is a perfect place for those seeking serenity, peace, and relaxation away from the hustle and bustle of city life yet still close enough that commuting into town when needed won’t pose too much trouble. We aim to make sure everyone gets personal attention during their stay by providing each applicant their own custom-made application form in order to best understand how they would fit into our family environment. Keep reading below for more details on how exactly you can apply!
Question | Answer |
---|---|
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 |
|
|
|
|
|
Primary Phone ___________ |
Phone |
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Mailing Address |
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|||||
City |
State |
|
|
Zip |
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
||
Additional Parent |
|
|
Primary Phone _____________________ |
Phone |
|||||||||
|
|
|
|
|
|
|
|
|
|||||
Alternate Contact |
|
|
Relationship to Camper_______________ |
Primary Phone |
|||||||||
|
|
|
|
|
|
|
|
|
|||||
CAMPERS NAME |
|
|
|
Sex |
|
DOB ______ / ______ / ______ Age on Sept 1, 2015 ________ |
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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. |
|||
|
|
|
|
|
___ 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 |
June |
|
___ SIT Camp |
June |
|
||
___ Junior |
June 26 - July 3 |
|
___ Horseman I |
June |
|
||
___ Teen |
July |
|
___ Horseman II |
June 26- July 3 |
|||
|
|
|
|
___ Horseman III |
July 3 - 10 |
|
|
|
|
|
|
___ Sports Camp |
June |
||
Horseback Mountain Trip |
|
|
___ Water Sports |
June 26 - Ju |
|
||
Price: $520 or $345.0000 for Carolina Conf. SDA |
|
|
|
|
|
||
___ Horse camping |
May |
|
|
|
|
|
|
|
|
|
|
|
|||
Trip |
|
|
|
|
|
|
|
|
|
|
|
There is a |
|||
|
|
|
|
|
|||
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+