CAMP INFORMATION

North County Middle School Debate Club

The North County Middle School Debate Club is a year long after school speech and debate program for students in grades 5-8. The NCMSDC offers students an introduction to multiple debate formats, judged practice rounds, and the opportunity to compete in online middle school Public Forum tournaments hosted by leading colleges.

Participants can join in person on the CCA campus or online via Zoom

Mondays and Wednesdays

3:45pm-5:15pm.

$125 per person/month on Zoom

$175 per person/month at CCA

PARTICIPANT INFORMATION

How many participants are you registering? (max 5) *

First Name *

Last Name *

Sex *

Birth Date * 🛈 +

Grade This Fall *

School enrolled in. *

Choose your session(s) *

Session 1 Aug 19 to Sep 30 LIVE at CCA

Session 2 Oct 2 to Oct 30 LIVE at CCA

Session 3 Nov 4 to Nov 20 LIVE at CCA

Session 4 Dec 2- Dec 18 LIVE at CCA

Session 1 Aug 19 to Sep 30 at ON ZOOM

Session 2 Oct 2 to Oct 30 ON ZOOM

Session 3 Nov 4 to Nov 20 ON ZOOM

Session 4 Dec 2- Dec 18 ON ZOOM

First Name - 2 *

Last Name - 2 *

Sex - 2 *

Birth Date - 2 * 🛈 +

Grade This Fall - 2 *

School enrolled in-2 *

Choose your session(s)-2 *

Session 1 Aug 19 to Sep 30 LIVE at CCA

Session 2 Oct 2 to Oct 30 LIVE at CCA

Session 3 Nov 4 to Nov 20 LIVE at CCA

Session 4 Dec 2- Dec 18 LIVE at CCA

Session 1 Aug 19 to Sep 30 at ON ZOOM

Session 2 Oct 2 to Oct 30 ON ZOOM

Session 3 Nov 4 to Nov 20 ON ZOOM

Session 4 Dec 2- Dec 18 ON ZOOM

First Name - 3 *

Last Name - 3 *

Sex - 3 *

Birth Date - 3 * 🛈 +

Grade This Fall - 3 *

School enrolled in-3 *

Choose your session(s)-3 *

Session 1 Aug 19 to Sep 30 LIVE at CCA

Session 2 Oct 2 to Oct 30 LIVE at CCA

Session 3 Nov 4 to Nov 20 LIVE at CCA

Session 4 Dec 2- Dec 18 LIVE at CCA

Session 1 Aug 19 to Sep 30 at ON ZOOM

Session 2 Oct 2 to Oct 30 ON ZOOM

Session 3 Nov 4 to Nov 20 ON ZOOM

Session 4 Dec 2- Dec 18 ON ZOOM

First Name - 4 *

Last Name - 4 *

Sex - 4 *

Birth Date - 4 * 🛈 +

Grade This Fall - 4 *

School enrolled in-4 *

Choose your session(s)-4 *

Session 1 Aug 19 to Sep 30 LIVE at CCA

Session 2 Oct 2 to Oct 30 LIVE at CCA

Session 3 Nov 4 to Nov 20 LIVE at CCA

Session 4 Dec 2- Dec 18 LIVE at CCA

Session 1 Aug 19 to Sep 30 at ON ZOOM

Session 2 Oct 2 to Oct 30 ON ZOOM

Session 3 Nov 4 to Nov 20 ON ZOOM

Session 4 Dec 2- Dec 18 ON ZOOM

First Name - 5 *

Last Name - 5 *

Sex - 5 *

Birth Date - 5 * 🛈 +

Grade This Fall - 5 *

School enrolled in-5 *

Choose your session(s)-5 *

Session 1 Aug 19 to Sep 30 LIVE at CCA

Session 2 Oct 2 to Oct 30 LIVE at CCA

Session 3 Nov 4 to Nov 20 LIVE at CCA

Session 4 Dec 2- Dec 18 LIVE at CCA

Session 1 Aug 19 to Sep 30 at ON ZOOM

Session 2 Oct 2 to Oct 30 ON ZOOM

Session 3 Nov 4 to Nov 20 ON ZOOM

Session 4 Dec 2- Dec 18 ON ZOOM

Current Total:

$0.00

Parent / Legal Guardian Information

Relationship to Participant(s): *

First Name *

Last Name *

Address *

City *

State *

Zip *

Phone *

2nd Phone *

Email Address *

Health Insurance Information

Participant First Name *

List any physical or emotional limitations your child/participant may have: *

Participant First Name - 2 *

List any physical or emotional limitations your child/participant may have: *

Participant First Name - 3 *

List any physical or emotional limitations your child/participant may have: *

Participant First Name - 4 *

List any physical or emotional limitations your child/participant may have: *

Participant First Name - 5 *

List any physical or emotional limitations your child/participant may have: *

By checking this box, I confirm that the participant(s) is/are covered by Health Insurance. Participant(s) must have Health Insurance to participate in this camp. Please provide Health Insurance information below. *

I confirm that the participant(s) is/are covered by Health Insurance.

Health Insurance Carrier *

Policy Holder's Full Name *

Health Insurance Group Number *

Health Insurance ID Number *

Health Insurance Phone Number *

Waiver Information

READ THIS WAIVER, RELEASE, ASSUMPTION OF RISK AND INDEMNIFICATION AGREEMENT FOR RISKS, INCLUDING BUT NOT LIMITED TO, COMMUNICABLE DISEASES (COVID-19)

By clicking on this form, you confirm that you have read and agree to all terms in the above Waiver, Release, Assumption of Risk and Indemnification Agreement for Risks, Including But Not Limited To, Communicable Diseases (COVID-19). *

I have read and agree to all terms in the Waiver, Release, Assumption of Risk and Indemnification Agreement for Risks, Including But Not Limited To, Communicable Diseases (COVID-19).

An email confirmation and payment receipt will be sent to the email address listed.

If you do not receive both of these emails, you have not successfully registered for the camp. Be sure to check your spam folder.

Please contact camp support at accounting@canyoncrestfoundation.org if you need assistance.