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Summer Camp Registration

If you are paying with a Credit Card (VISA or M/C) you MUST pay using the CASHNet option presented after submitting this form.  We cannot accept payment with a credit card over the phone or in person.

If paying by check please complete the online registration form and follow the instructions presented after submission.

Registration Questions?  Contact Kathy Stanek @ 541.885.1143

Camper Information
Name



Mail Address


Contact Information

@oit.edu
@oit.edu
Other Information

Camp Fees

One Camp
$155 for one camper(this includes a $25 non-refundable registration fee)
$130 for each additional camper within the same family(this includes a $25 non-refundable registration fee)

Any Two Camps
$260 for one camper (this includes a $25 non-refundable registration fee)
$210 for each additional camper within the same family(this includes a $25 non-refundable registration fee)

All Three Camps
$390 for one camper (this includes a $25 non-refundable registration fee)
$365 for each additional camper within the same family(this includes a $25 non-refundable registration fee)

Select Camp(s)
  • Registration for this camp closed on June 8, 2015.

    Maximum 45 campers

  • Registration for this camp closed on June 12, 2015.

    Maximum 45 campers

  • Registration for this camp closed on June 22, 2015.

    Maximum 18 campers

Emergency Contact Information

If my student becomes ill or injured during the program activities:

  • Counselors, instructors and/or the program directors have my permission to seek medical treatment for him/her
  • I understand that I will be contacted immediately if medical treatment is necessary

Media Release Verification

I hereby consent for value received and without further consideration or compensation to the use (full or in part) of all still photo images, videotapes taken of my son/daughter and/or recordings made of his/her voice and/or written extraction, in whole or in part, of such recordings or performances for the purposes of illustration, broadcast, or distribution in any manner. This information may be used by Oregon Institute of Technology for communications with media (newspapers, television, radio, etc.). I release Oregon Institute of Technology from any responsibility in this matter.

Please mark each situation for which permission is denied





Signature

*

 
NOTE: You will be able to add additional campers for the discounted price after submitting