* Required

Rainbow Camp 2019 Registration Form

If you have any questions while completing this registration, please SAVE what you have entered and refer back to the Program Description page or the Fees page on the website. You can also contact Mary Farmer at mfarmer@ncrcpreschool.org.

NCRC Statusrequired

Program / School Camper currently attendsrequired

Please provide this information if your child is only attending NCRC's Rainbow Camp and is not enrolled or enrolling for the academic year at NCRC.

Session Selection*

(Select all that apply)

Once Upon a Time -- Creative Camp (week 7)

Camp Group Selectionrequired

Please refer to the Camp Groups page on the website for additional group information & guidelines. If registering for the 7th week session only, please select that choice from this drop-down menu, and indicate week 7 program choice in the next section. If you do not see your desired class listed, it may be fully subscribed; please contact Mary Farmer to be added to the Waitlist, or with questions.

Program Selection for 7th Week Mi Casa/Creative Camp

Additional class selections may be added.

Once Upon a Time

Child's Last Namerequired

Child's First/Preferred Namerequired

Date of Birthrequired (mm/dd/yyyy)

Gender*

Male Female

Does your child have any special needs?*

Yes No

If yes above, please share more information.

Parent 1/Guardian 1 Namerequired

Parent 1/Guardian 1 Phone(best to contact you)required

Parent 1/Guardian 1 Emailrequired

Parent 2/Guardian 2 Name

Parent 2/Guardian 2 Phone(best to contact you)

Parent 2/Guardian 2 Email

Street Addressrequired

Cityrequired

Staterequired

Ziprequired

How did you first hear about NCRC Rainbow Camp?required

*A registration fee of $100 is required. Once you submit your registration form below, a payment screen will follow. Your registration is incomplete until payment is submitted.
$90 of the registration fee will be applied to tuition, or refunded if there is no space or appropriate placement for your child.

Please send a confirmation email to the address below*:

Please provide an email address where we can send a link to your current form.

Email Address :