JH Ranch 2018 August 15th- 20th
August 15th-20th
Student Name *
(First & Last)
Your answer
Student Gender *
Grade going into Fall *
Required
Parent/Guardian Name *
(First & Last)
Your answer
Parent/Guardian Phone *
Your answer
Parent/Guardian Email *
Your answer
Address *
(We will be mailing out an informational packet as camp approaches.)
Your answer
Will your student need a scholarship? *
The cost for a middle school camper is $400 and the cost for a high school helper is $200. 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.
Does your student have a food allergy? *
If yes, explain.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.