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: [ ]