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: *

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):

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]