Camp Northlake Counselor Registration

  • Camp Northlake Counselor Registration

    July 19th-24th (Ponderosa Bible Camp in Mentone, AL) FOR KIDS WHO HAVE COMPLETED GRADES 9 THROUGH 12

  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • In Case of Emergency, if you can't reach me, please contact:

  • Cost

    The cost of Camp Northlake this year $200.00 per Northlake Teen Counselor and $200.00 per Non-Northlake Teen Counselors (a. This includes room, meal & snacks, return transportation, and an official Camp Northlake t-shirt). Please make checks payable to Northlake Church of Christ and send to 1625 Cooledge Rd. Tucker, GA 30084. Credit Card Payments can be made online at https://northlake.churchcenter.com/registrations/events/3527417

  • Transportation

  • Medical Form

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  • Format: (000) 000-0000.

  • CAMP NORTHLAKE PARENT PERMISSION FORM

  • I hereby give permission for my child(ren) to participate in Camp Northlake. I hereby release Crystal O’Neal, Northlake Church of Christ, their staff and any other person acting on behalf of Crystal O’Neal in connection with participation in the camps; from any responsibility and liability for any injury or illness that my child may sustain during this activity.

    In the event of an emergency, I hereby authorize an adult leader of this activity, as an agent for me, to consent to any x-ray examination; medical, dental, or surgical diagnosis; treatment; and hospital care advised and supervised by a physician, surgeon, or dentist (as appropriate) licensed to practice under the laws of the State where the services are rendered, either at a doctor’s office or at any hospital. I expect to be contacted as soon as possible.

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