Session 1 #@ID1@

Parent First Name

Parent Last Name

Purchaser Email

Alternative Email (optional)

Parent Phone

Emergency Phone Contact Name

Emergency Phone Number

Parent Address

Parent City

Parent State

Parent Zip

Camper First Name

Camper Last Name

Camper Preferred Name

Camper Preferred Pronouns

Choose a camp session based on the grade you child will be in for Fall 2024

Age

Birth Date

Shirt Size

Please place my child in the same group with:
(please list one person and note that we cannot guarantee placement but we do our best to accommodate)

Please list all authorized drivers including yourself:

Camper Self Release:
If your camper is 12 + years, and has an alternative form of transportation (bus, walking, biking, Uber, etc.), please let us know and specify what the form of transportation is:

Is there anything else you would like us to know about your child?

Photo Release
I give permission and consent for Oregon Humane Society (OHS) to allow photographs taken during youth program sessions and events of my child for promotional and advertising purposes (i.e., brochures, newsletter, consumer print, broadcast, books, internet, retail, events etc.) to illustrate and promote the youth program experience and its programs. OHS strives to provide programs and experiences to teach youth about animal welfare, compassion and kindness. OHS’ mission promotes our programs in order to continue to create a more humane world.  

By selecting yes, I agree to allow my child to be photographed and permit OHS to use my child’s likeness in promotional materials.

Add Session 1 Before/After Care #@ID1@

Camper's Full Name

Session 2 #@ID1@

Parent First Name

Parent Last Name

Purchaser Email

Additional Email (optional)

Parent Phone

Emergency Phone Contact Name

Emergency Phone Number

Parent Address

Parent City

Parent State

Parent Zip

Camper First Name

Camper Last Name

Camper Preferred Name

Camper Preferred Pronouns

Choose a camp session based on the grade you child will be in for Fall 2024

Age

Birth Date

Shirt Size

Please place my child in the same group with:
(please list one person and note that we cannot guarantee placement but we do our best to accommodate)

Please list all authorized drivers including yourself:

Camper Self Release:
If your camper is 12 + years, and has an alternative form of transportation (bus, walking, biking, Uber, etc.), please let us know and specify what the form of transportation is:

Is there anything else you would like us to know about your child?

Photo Release
I give permission and consent for Oregon Humane Society (OHS) to allow photographs taken during youth program sessions and events of my child for promotional and advertising purposes (i.e., brochures, newsletter, consumer print, broadcast, books, internet, retail, events etc.) to illustrate and promote the youth program experience and its programs. OHS strives to provide programs and experiences to teach youth about animal welfare, compassion and kindness. OHS’ mission promotes our programs in order to continue to create a more humane world.  

By selecting yes, I agree to allow my child to be photographed and permit OHS to use my child’s likeness in promotional materials.

Add Session 2 Before/After Care #@ID1@

Camper's Full Name

Session 3 #@ID1@

Parent First Name

Parent Last Name

Purchaser Email

Additional Email (optional)

Parent Phone

Emergency Phone Contact Name

Emergency Phone Number

Parent Address

Parent City

Parent State

Parent Zip

Camper First Name

Camper Last Name

Camper Preferred Name

Camper Preferred Pronouns

Choose a camp session based on the grade you child will be in for Fall 2024

Age

Birth Date

Shirt Size

Please place my child in the same group with:
(please list one person and note that we cannot guarantee placement but we do our best to accommodate)

Please list all authorized drivers including yourself:

Camper Self Release:
If your camper is 12 + years, and has an alternative form of transportation (bus, walking, biking, Uber, etc.), please let us know and specify what the form of transportation is:

Is there anything else you would like us to know about your child?

Photo Release
I give permission and consent for Oregon Humane Society (OHS) to allow photographs taken during youth program sessions and events of my child for promotional and advertising purposes (i.e., brochures, newsletter, consumer print, broadcast, books, internet, retail, events etc.) to illustrate and promote the youth program experience and its programs. OHS strives to provide programs and experiences to teach youth about animal welfare, compassion and kindness. OHS’ mission promotes our programs in order to continue to create a more humane world.  

By selecting yes, I agree to allow my child to be photographed and permit OHS to use my child’s likeness in promotional materials.

Add Session 3 Before/After Care #@ID1@

Camper's Full Name

Add Session 4 Before/After Care #@ID1@

Camper's Full Name

Session 5 #@ID1@

Parent First Name

Parent Last Name

Purchaser Email

Additional Email (optional)

Parent Phone

Emergency Phone Contact Name

Emergency Phone Number

Parent Address

Parent City

Parent State

Parent Zip

Camper First Name

Camper Last Name

Camper Preferred Name

Camper Preferred Pronouns

Choose a camp session based on the grade you child will be in for Fall 2024

Age

Birth Date

Shirt Size

Please place my child in the same group with:
(please list one person and note that we cannot guarantee placement but we do our best to accommodate)

Please list all authorized drivers including yourself:

Camper Self Release
If your camper is 12 + years, and has an alternative form of transportation (bus, walking, biking, Uber, etc.), please let us know and specify what the form of transportation is:

Is there anything else you would like us to know about your child?
This will help us to make sure your child has the best experience they can!

Add Session 5 Before/After Care #@ID1@

Camper's Full Name

Session 6 #@ID1@

Parent First Name

Parent Last Name

Purchaser Email

Additional Email (optional)

Parent Phone

Emergency Phone Contact Name

Emergency Phone Number

Parent Address

Parent City

Parent State

Parent Zip

Camper First Name

Camper Last Name

Camper Preferred Name

Camper Preferred Pronouns

Choose a camp session based on the grade you child will be in for Fall 2024

Age

Birth Date

Shirt Size

Please place my child in the same group with:

Please list all authorized drivers including yourself:

Camper Self Release:
If your camper is 12 + years, and has an alternative form of transportation (bus, walking, biking, Uber, etc.), please let us know and specify what the form of transportation is:

Is there anything else you would like us to know about your child?

Add Session 6 Before/After Care #@ID1@

Camper's Full Name