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Northwest Passage Dance Camp - 2019

Online Registration

You may submit a request for up to two campers. Just fill out the form and when ready, click the Submit button below to send in your registration request (you'll receive an email acknowledgement with all the details from the form). After you submit the request, you'll be given the option to make a payment online, and/or submit another registration request for additional campers. Remember, you are not registered until we receive all monies due. When payment is received, you will receive a separate email notification within a week with your registration status (e.g confirmed, on waiting list, etc).


Click on the or images below to reveal/hide the part of the form for a particular camper.
The Submit button processes everything whether is it showing or not.
Items with an asterisk (*) are required.
Error messages will appear at the top of the form in red.
For faster data entry, use the tab key to skip to the next form field.


2019 Northwest Passage Dance Camp Registration Form


Registrar's use only
Today
AsOf 
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First camper

First Name*


Last Name*


Name on Badge (if you leave blank, we use first and last name)


Gender* (check one)
Male
Female
Other/non-binary

Street Address*


Zip/Postal code* (Entering the Zip code may populate City and State. Make sure those are also correct)


City*


State/Territory/Province*


Country (if not United States)


Telephone* (enter at least one; will format as xxx-xxx-xxxx)

Email Address*


Sleeping Accomodation* (check one)
Performing staff
No preference
Women only
Men only
Co-ed
Families with kids
Motel (or other offsite)
Car/RV
Platform tent (contains cots for up to 5; limited spaces available)
Private tent (limited spaces available)
   (For private tenting, help us manage small vs and large tent locations)
   Tenting Alone With:
     

Include my information on the camper roster EXCEPT for
Name (check Name to exclude everything)
Street address
City/state/zip/country
Day phone
Evening phone
Email

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

Registration Type*(check one)
   (prices based on postmark or transmission date):
Paid staff (no fee)
Staff partner ($155)
Committee ($155)
Adult ($320 until June 30, $340 after)
Adult Tent/RV/motel ($300 until June 30, $320 after)
Youth under 30 ($245 until June 30, $265 after)
Teen 10-18 yr-old ($80 until June 30, $90 after)
Child 2-9 yr-old ($50 until June 30, $60 after)

Special camp fee
(Note: you MUST specify a Registration Type above even if using this, and you MUST add a note in Comments below as per Registrar's instruction. DO NOT USE without prior discussion from the Registrar.)
   $

Work Trade requests (check as many as appropriate)
I am applying for a work trade position.
If work trade is not not available, I will attend at full price. (Full price is paid now. If work trade is awarded, difference will be rebated later).

I would like to make a tax-deductible donation to PCDC for
   $

Amount due for this camper $

Dietary Preferences (check all appropriate and at least one)*
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

List any other dietary restrictions, allergies, etc. we should be aware of (optional):

Comments - elaborate on any of the above, or add additional information about this camper. Let us know if we missed anything, or there is something else we should know (optional):



Registrar's use only
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Second camper

(We tell you this again on the next page, but if paying by check, make it payable to PCDC, write the camper name(s) in the memo section of the check, and mail it to:NWP 2019, c/o Stewart Hall, 15052 SE River Forest Dr, Portland, OR 97267-2509)