Each child is unique and special. As a parent, you know that - and we want to assure you that the Children’s Program at Northern Pines understands that too!

Our programming throughout the week is thoughtfully designed around N.P.’s mission of being a “vacation with a purpose.” The Children’s Program aims to be Christ centered, while being fun and flexible - and having a variety of children’s needs and interests in mind!

Please fill out this form for each child you have registered in the Children’s Program (ages birth to entering 3rd Grade). Provide us with information about your child before camp begins, so that we can do our best to have a great week with your child(ren) at Northern Pines!

Note: The information you share on this form will be held in confidence. It will be made available to the Children’s Program Directors, (Lee & Leah Nelson) and only with the other Northern Pines staff they deem appropriate - who will also regard the information as confidential.

First time at N.P. with children in our program?
Name of Child
Child's gender:
MM slash DD slash YYYY
Name of Parent / Guardian #1:
Name of Parent / Guardian #2: