NLK CAMP REG 2023

Newlife Kids Camps 2023 Registration

JK - Grade 5 Students (Born in 2012-2018)
Child's Name*

First NameLast Name
Gender*

MaleFemale
Birth Date*

MonthDayYear
Current Grade (2022/23)*
Please indicate the grade they are currently enrolled in at school. If you do not see your child's grade in the list it means that the age group is full. Please contact the office to be added to the waiting list.
In your opinion, is your child able to participate on their own and keep up with the physical and social day to day activities of camp life? (please contact us before submitting this form if you answered NO or have any concerns/questions about what camp entails)

YesNoOther
Name of Person to be issued Tax Receipt*

First NameLast Name
Parent/Guardian Information
Parent/Guardian 1*

First NameLast Name
Parent/Guardian 2

First NameLast Name
Best E-mail for communication*
example@example.com
Phone Number for contact & check-in*
Additional Number (if you would like another number attached to the registration)
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Are there any allergies, chronic illness, or medical conditions? If yes, please describe.*
Type No if there isn't anything
Are there behavioral concerns or any situations that you would like to share?*
Type No if there isn't anything
(Currently in JK-Grade 2) $150/week till May 5th then $175/week

Please check the weeks you would like for your child to attend. Extended Care is from 7:45 a.m-5:00 p.m. ($30/week) If the week no longer appears, we are full, please contact kids@newlifekids.ca for availability
SON JR. Day Camp Weeks

July 10 - 14July 17 - 21
Extended Care needed

July 10- 14July 17-21
(Currently in Grade 3 - Grade 5) $150/week till May 5th then $175/week

Please check off which week you would like and pick 1 activity choice for the mornings for your child for each week they are attending. We will accommodate choices based on registration order. Extended Care is from 7:45 a.m-5:00 p.m. ($30/week) If the week no longer appears, we are full, please contact kids@newlifekids.ca for availability
Week 1

July 10-14Extended Care Needed
Morning Activity
Week 2

July 17-21Extended Care Needed
Morning Activity
CONSENT

Please read and sign below
In the event I cannot be reached in an emergency, I/We the parents or guardians named above hereby give my permission to the medical personnel selected by the Newlife Christian Church Ministry staff to secure emergency medical treatment including but not limited to, first aid, CPR, admission to any hospital, tests, surgery or general anaesthesia. I/We, named above, undertake and agree to indemnify and hold blameless Newlife Christian Church, its Pastors and Board of Directors from and against any loss, sickness, damage or injury suffered by the participant as a result of being part of the activities of Newlife Christian Church. This consent and authorization is effective only when participating in or traveling to/from events of Newlife Christian Church. I/ We understand that electronic devices are not allowed during programs. However pictures may be taken at designated times and events by participants. Photos or videos taken for church/camp purpose/ promotion will never be published with names (unless parental permission is obtained). I/ We understand that the information being collected may be used for mail and electronic communication purposes ONLY by Newlife Christian Church. Information will never be given to a third-party.
I Agree to the Statement above*

First NameLast Name
Signature*

Clear
Date*

MonthDayYear
Date
PAYMENTS

Payments can be made online below. Or through E-transfer. Please note that E-transfer spots are held for 3 days from the time we send out the emailed instructions. Your child will not be confirmed as registered until deposits are paid. Early Bird Full Payment is Due by June 1, 2023
Please check all that apply

Online Payment Full or Deposits (complete next section for payment, then SUBMIT)E-transfer DEPOSIT ONLY - Send to give@newlifecc.ca (please include the name of your child and what it is for in your e-transfer note. You may pay for multiple children at once. (scroll to bottom & SUBMIT)E-transfer Full Payment - Send to give@newlifecc.ca (please include the name of your child and what it is for in your etransfer note. You may pay for multiple children at once. (scroll to bottom & SUBMIT)I have submitted a Scholarship ApplicationI would like to arrange a payment plan
ONLINE PAYMENT ONLY

Please fill out the sections below to pay your deposit or full balance online. If you wish to pay in office please go right to Submit at the bottom of the page.

Purpose & Extent Newlife Church is collecting and retaining this personal information for the purpose of enrolling your child in our programs, to assign the student to the appropriate classes, to develop and nurture on going relationships with you and your child, and to inform you of program updates and upcoming opportunities at our Church. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish Newlife Church to limit the information collected, or to view your child’s information, please contact us.
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Newlife Kids Camps 2023 Registration

(Currently in JK-Grade 2) $150/week till May 5th then $175/week

(Currently in Grade 3 - Grade 5) $150/week till May 5th then $175/week

CONSENT

PAYMENTS

ONLINE PAYMENT ONLY

Payment Methods