2022 Humane Heroes & Be a Vet Registration

How did you hear about this NCAL program?

Word of mouth
Online search
Looking through the website
Social media
Newsletter
Media outlet (radio, TV, newspaper, etc.)

Camper's First & Last Name, & Age*

First and Last Names, followed by Age (at the time of camp)

Does the camper have a chosen name, preferred name or nickname we should use?

What are the camper's pronouns?

Examples: She/her, He/him, They/them

Parent/Guardian's Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Would you like to subscribe to our newsletter?*

Yes please!
No thank you.
Already receiving it.

Please read carefully before choosing your option(s):

*Full payment is due by two weeks prior to the start date of selected camp. A $100 processing fee will be retained if you cancel your child’s reservation and do so two weeks prior to the start date of camp. There will be no refunds for reservations cancelled within two weeks of the first day of camp except at the discretion of a camp director.

1b. Be a Vet Camp: Ages 10-15; August 1-4

Price: $425.00

2b. Humane Heroes Camp: Ages 8-12; July 11-15

Price: $395.00

2c. Humane Heroes Camp: Ages 8-12; July 25-29

Price: $395.00

3b. Pet Pals Camp: Ages 5-7 July 19-21

Price: $165.00

If you would you like to contribute to NCAL's Amelia Scholarship Fund to support local families, please enter your donation amount below:

In order to make our programming accessible for as many families as possible, we ask those with more access to resources to consider paying more tuition to help those with fewer economic opportunities.

Are you interested in financial assistance?

Yes
No

If so, please email: lusana@ncal.com

Pay by:

Credit/Debit Card
I will mail a check or pay in person at the shelter

Your Information:

Name as it Appears on Credit/Debit Card

First Last

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

*Please feel free to skip if same as home address listed above

Payment Information

Check all that apply:

I would like to cover the processing fee ($3)
Please email me the receipt
I do not need a receipt

Processing Fee

Total

$0.00

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Humane Heroes & Be a Vet Camp Registration

2022 Humane Heroes & Be a Vet Camp Form

Please read carefully before choosing your option(s):

Your Information: