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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 Grace Rusth @ 541.885.1844

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
$275 for one camper (this includes a $25 non-refundable registration fee)
$250 for each additional camper within the same family(this includes a $25 non-refundable registration fee)

All Three Camps
$395 for one camper (this includes a $25 non-refundable registration fee)
$370 for each additional camper within the same family(this includes a $25 non-refundable registration fee)

Select Camp(s)
  • Registrations for this camp will close June 8, 2016.

    Maximum 60 campers

  • Registrations for this camp will close June 8, 2016.

    Maximum 60 campers

  • Registrations for this camp will close on June 12, 2016.

    Maximum 60 campers

  • Registrations for this camp will close on June 12, 2016.

    Maximum 60 campers

  • Registrations for this camp will close on June 22, 2016.

    Maximum 18 campers

Camper Information
Name



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




Parent/Guardian Information
Name


Mailing Address


Contact Information





Emergency Contact Information

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