Circus Cascadia Summer Camp Registration Form 2022

Please fill out this form to begin the registration process.
Camp Hours are 10am till 3pm

Before and After care will be available .
Before care starting at 8.30 am - 10 am Camp start  for $20 a session.
Aftercare available till 5.30pm for $30 a session.

Payment options: Please pay a deposit of $50 or full amount to hold your child's spot in the camp.
Please do this right when you finish sending this form to assist easy admin.
Pay using Paypal button on website.

Checks may be sent to:
Circus Cascadia, 8563 SE 257th Ave, Gresham, OR, 97080

A non-refundable deposit of $50 is required  to reserve a spot in camp.
All other payments can be completed on first day of camp
You can also email info@circuscascadia.org  to arrange payment.

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Email *
Untitled Title
Our home Sunshine Creek Farm
Student Name *
Age and Grade level *
What camp are you signing up for? *
Required
Parent or Guardian #1 *
Contact Number for Parent/Guardian *
Email address *
Parent or Guardian #2 *
Contact Number for Parent/Guardian 2 *
Email address for Parent/Guardian 2 *
We care about the safety of all our campers. This camp is open to children who have been fully vaccinated against COVID-19. Check the box below to confirm that all eligible people in your household are vaccinated or will be scheduled prior to the start of camp. We reserve the rights of admission. Please contact us if you have any questions. *
Required
Will you be requiring before or aftercare? *
 Consent for emergency care: I hereby grant permission to Circus Cascadia teachers to perform emergency care, including first aid and CPR on my child and transport my child as deemed necessary for further medical treatment in the event I am unable to be contacted. I further consent to medical or surgical treatment by any licensed physician and or hospital and the administration of surgeries and any other medical treatments deemed necessary or advisable in the event I am unable to be contacted.Electronically signed: *
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