Rockwood DIY Virtual Reality Camp Permission and Release
The Rockwood DIY podcast camp will teach students podcasting fundamentals and digital storytelling skills.
It will be held at MetroEast Community Media (829 NE 8th St, Gresham, OR 97030) July 22, 2019 - July 26, 2019 from 9:00pm to 3:30, Monday - Friday.

We may hold field trips within walking distance of MetroEast to give kids a break outdoors. In case of a medical emergency, we will bring your child to Adventist Urgent Care at 18750 SE Stark St, Portland, OR 97233. In order for your child or ward to participate in the Rockwood DIY Virtual Reality Camp (includes walking field trips) we require you to complete this form. If yourself, your child or ward check out any equipment, you are responsible for its replacement if it is lost, stolen or broken. By filling out this form you consent to the terms above.

Participant's First Name(s) *
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Participant's Last Name(s) *
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Parent or Guardian First Name
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Parent or Guardian Last Name
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Parent or Guardian Address
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Dietary Restrictions *
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Allergies/Medical Info We Should Know *
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Emergency Contact Person (besides you or parent) *
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Emergency Contact Phone (besides you or parent) *
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Email Address *
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