Application - Northwest Passage - Labor Day Camp 2008

Name(s) of adult participant(s):

____________________________________     male    female   (circle one)

____________________________________     male    female   (circle one)

Address ____________________________________________

City ________________________  State ______ Zip ________

Phone (day) _________________   (eve) __________________

e-mail ______________________________________________

Name and age of each non-adult:

_______________________________________________________________________

Special dietary needs:

_______________________________________________________________________


I do want my address/phone/e-mail to be listed on the camp roster:

    (circle one)       yes       no

(names & addresses on roster may be shared with other dance event organizers)


Sleeping accommodations
(circle one):


     women-only         men-only
         adult couples         rustic shelter

   
tent                    families with kids                car/RV (Car/RVers:we will contact you re details)

Enclose full payment with this application:
Postmarked on or before June 16 - $230 per adult, $80 per 10-18 yr-old, $50 per 2-9 yr-old
                                                     $180 per student (full-time, college or beyond; include copy of student ID)

Postmarked after June 16 - $255 per adult, $90 per 10-18 yr-old, $60 per 2-9 yr-old
                                         $205 per student (full-time, college or beyond; include copy of student ID)


I am applying for a work-trade position (circle one):         yes       no
If yes, and one is not available, I want to attend at full price (circle one):      yes       no
   (Either way, include full payment now - $75 will be rebated later)

Make check payable to PCDC.  Mail this application and your check to:

    Northwest Passage
    c/o Carmen Doerge
    6200 NE Alton
    Portland, OR  97213

To reduce our expenses, all of our communications to you will be via e-mail.
If you would prefer snail mail. please check here: [  ]