• Camp NOMACCA Retreat Registration

    Camp NOMACCA Retreat Registration

    All Campers grades 6-12 are invited to join us September 18th-20th as we look at Ephesians 3:17-20 Where God's Love is "Inconceivable!" Cost is $50
  • Camper Information

  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Camper Policies

  • Camp NOMACCA Retreat Health History

    Camp NOMACCA Retreat Health History

  • Demographics

  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Health Information

  • Camper currently has/ has had recently:
  • Please select which over-the-counter medications may be administered:
  • IMPORTANT

    1. If bringing medications to camp, please provide all pertinent prescription information at

    registration. All medicine must be brought in its original container. This includes inhalers.

    2. If camper uses an inhaler and/or epi-pen: Due to State regulations, if you wish for your child

    to carry & self-administer his/her own inhaler, please print and fill out the Self-Administration

    Form at www.nomacca.com.

    IN CASE OF ACCIDENT OR ILLNESS, I HEREBY CONSENT TO THE

    ADMINISTRATION OF AID AND/OR MEDICATION. I UNDERSTAND THAT I

    WILL BE RESPONSIBLE FOR THE COST OF SUCH TREATMENT.

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