Camp Medical Bag Request

To request a medical bag for an upcoming camp, complete the form below.

Please allow a minimum of 2-3 weeks to process.

If you have any questions, please contact [email protected]

Your Name

Email

Phone

Medical Bag Pickup (Enter a specific date or timeframe not to exceed one week) *

Medical bags are available for pick up at the North Coast Safety trailer on the Vista Campus.

Date Leaving: *

Date Returning: *

Medical Bag must be returned immediately to the North Coast Safety trailer after camp is completed.

Contact information for person designated to pick up and return medical bag. (Full Name, Phone Number and Email) *

Ministry: *

Campus

Grade Level (if Students are present): *

Number of Attendees:

Medical Personnel Name (Full Name), Phone Number and Email: *

Medical bags are provided by NCS to be used by medical professionals

Medical Personnel Credentials: *

Additional Medical Personnel Name(s) (Full Name), Phone Number and Email: (If Applicable)

Additional notes

If you have any questions, please contact [email protected]