Northwest Passage Dance Camp - 2018

Northwest Passage Dance Camp Registration Form

Just fill out the form and when you're ready, please click the Submit button below to send in your registration request and receive an acknowledgement with all the details in your email inbox. After you submit the request, you'll be given the option to make a payment online, and/or submit another registration request.

Please complete one registration for each person. Items with an asterisk (*) are required.
For faster data entry, use the tab key to skip to the next form field

Personal Information

Registrar's use only
Today AsOf Stat1 Stat2
First Name*  
Last Name*  
Name on badge  
Gender (check one)*  Male Female Other/non-binary
Street address*  
Zip/Postal code*  
City*  
State/Territory/Province*  
Country (if not United States)  
Telephone* (at least one number)
(xxx-xxx-xxxx)
Email address*  
Sleeping Accomodation (check one)*: No preference Women only Men only
    Co-ed/Couples Families with kids Tent (sorry we are out of tenting spaces)
    Motel Car/RV
I wish to room with the following people (note: we do not pre-assign rooms for campers):
     
Include my information on the camper roster EXCEPT for Name Street address
    City/state/zip/country Day phone Evening phone Email.

YES! Please share my information with other organizers/events.

Registration type (select one)

Postmarked
or transmitted
by June 27
Postmarked
or transmitted
after June 27
Paid staff n/a n/a
Staff partner $155 $155
Committee $155 $155
Adult $320 $340
Adult Tent/RV/motel $300 $320
Youth (under 30) $245 $265
Teen 10-18 yr-old $  80 $  90
Child 2-9 yr-old $  50 $  60
Special camp fee (only use this with prior permission from the Registar) $
I would like to make a tax-deductible donation to PCDC for   $
Total amount due $
I am applying for a work trade position.

If one is not available, I want to attend at full price. (Either way, include full payment now, $75 will be rebated later).

Additional Information

Dietary preferences are used by the kitchen so we can accomodate your food requirements.  We're not perfect, but give us details and we'll try our best.

What best describes your dietary outlook?*
     Omnivore - I enjoy both meat and veggies
     No red meat - I eat veggies, fish, and poultry
     Vegetarian - I eat veggies, but no meat, fish, or poultry
     Vegan - I eat only veggies, no meat, eggs, cheese, etc.
     Dairy-free
     Gluten-free

Do you have any other dietary restrictions, allergies, etc. we should be aware of?

Final comments

Please elaborate on any of the above questions or add any additional comments about your registration.  Let us know if we missed anything, or there is something else we should know (optional):