MS Umpqua Overnighter July 15th - 17th
Location: Elkton, OR

Rapids: All Unclassified

Duration: 3 Days, 2 Nights

Student Name *
(First & Last)
Your answer
Gender *
Student Age *
Your answer
Parent/Guardian Name *
(First & Last)
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email *
Your answer
The cost of this trip is $150. This covers travel, camping, food, and all rafting equipment . *
(See next question for scholarship information.)
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.
Will your student need a scholarship? *
(If yes, we will contact you to discuss details.)
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