***If you are intending to sign up for Noah or Nehemiah After School follow this link: 
​https://hartfordcitymission.org/after-school-registration.html ***
Camp Noah is a 6 week summer day camp that consists of character development in a safe and fun family atmosphere. Daily activities include friendly competitions, crafts, Biblically-based character development lessons based on the life of Jesus, and healthy Breakfast, lunch 7 dinner. Camp Noah 2022 runs from July 11 - August 19, from 9:00 - 5:00 PM. For more info on camp please contact Our program Director Mr. Jarrad.​

Fill out the form below to start the registration process for Camp Noah.

Please note that after you complete this form, you will receive an email with next steps which include completing this form for each child you would like to register, giving us a physical copy of each child's most recent physical (Completed on or after 8/31/2021), and attending an orientation.
You must complete this form for each of the children you are registering.
​Be sure to indicate the program for which you are registering them.

    Parent or Primary Guardian Info 

    ATTENTION REGISTRATION IS CLOSED AS OF Friday June 6, 2022!
    ​
    If you sign your child up you will be placed on a Camp waiting List. Please call office for more information. 860.246.0132

    Camper Information

    If you have more than one student, you don't have to fill out the whole form multiple times. Once you submit this form for one student, you can click here (this link will pop up after submitting) for additional students.
    Program Attendance
    Beginning in 2022, Camp Noah will begin at 9:00am each morning and ends at 5pm on Monday - Friday.
    Medical Information
    Please fill out the section below as thoroughly as possible to help us best serve your child.

    Emergency Contact Information

    List 2 emergency contacts that are NOT the parent or primary guardian.
    Emergency Contact 1​
    Emergency Contact 2

    Permissions & Agreements

    Prior to your child starting program, you will be asked to sign the following agreements.
    • I give my permission to the school district to release my child's records to Hartford City Mission.
    • I understand my child may be photographed or recorded on video to be used for memorabilia and program promotion. You have my permission to photograph and videotape my child or display samples of his/her work.
    • I understand that my child may need to be transported to various sites within the state of Connecticut for field trips and other programmatic events. Children will only be transported by licensed staff. I give Hartford City Mission staff and/or volunteers permission to transport my child for program activities and release the staff and/or volunteers from any liability.​
    By hitting the submit button below you are acknowledging agreement with the following statements:
    1. I understand that placement in this program is not guaranteed and space is limited.
    2. I understand that in order for a child to have an excused absence, I must inform the program by 3pm.
    3. I understand Hartford City Mission reserves the right to remove students based on conduct and/or attendance.
    4. I understand that I am responsible for my child's transportation to and from program.
    5. I understand that Hartford City Mission's programs use lessons that are Biblically based and my child will be exposed to and participate in Christ-centered activities.
    6. I understand that my registration is not complete until all paperwork has been completed and submitted including a physical dated within the last 2 years.
You must complete this form for each of the children you are registering.
​Be sure to indicate the program for which you are registering them.
Hartford City Mission, P.O. Box 320397, Hartford, CT 06132-0397  p. 860.246.0132