Klamath Rafting Trip July 15-17th
Student First Name *
Your answer
Student Last Name *
Your answer
Gender *
Student Age *
Your answer
Parent/Guardian Name *
(First & Last Name)
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Cell Phone Number
Your answer
The cost of this trip is $250. This covers travel, camping, food, and all rafting equipment *
(See next question for payment plan and scholarship information.)
I would like more information about the payment plan and scholarship options *
(If yes, we will contact you to discuss details.)
How would you prefer to pay? *
If you would like to pay online follow the link on the confirmation page after submitting this form to submit payment. If you would like to pay by cash or check you can mail it to P.O. Box 12083 Eugene Oregon, 97440.
Which trip are you planning on attending?
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