7/13-7/16/26 Canyon & Community Trekkers Summer Camp Registration Form

Canyon & Community Trekkers Summer Camp in Redmond July 13-16th, 2026

Summer Camp Registration
Have any questions before you Register? See our FAQ
Registration Cancelled:
Please enter the child's/children's info first, then the parent/guardian contact info. You may register up to 2 children.

If you'd like to register 3 kids or more, please contact becky@envirocenter.org

Camp Costs/Costo De Campo

# of kids	No discount codes	Supporter Code (10% off)	Scholarship Code (50% off)
# de niños	Sin códigos de descuento	Código de patrocinador (10% de descuento)	Código de beca (50% de descuento)
1 child /niño	$280	$252	$140
2 children /niños	$280+$252 = $532	$252+$252 = $504	$140+$140 = $280

Child's Information
Child's Name

First NameLast Name
Birth Date

MonthDayYear
Grade (which the child will be entering for the new school year)
This camp is for children entering 2nd-5th grade
Optional: My child's preferred pronouns
(ex. she/her, he/him, they/them, etc.)
Does the child have medical conditions and special needs?
Medical conditions and special needs:
Does the child have allergies, food/nut allergies, and/or dietary restrictions?
Allergies, food/nut allergies, and/or dietary restrictions:
Does the child use a self-administered medication?
Self-administered medication description:
Do you want to register a 2nd child?
Child's Name

First NameLast Name
Birth Date

MonthDayYear
Grade (which the child will be entering for the new school year)
This camp is for children entering 2nd-5th grade
Optional: My child's preferred pronouns
(ex. she/her, he/him, they/them, etc.)
Does the child have medical conditions and special needs?
Medical conditions and special needs:
Does the child have allergies, food/nut allergies, and/or dietary restrictions?
Allergies, food/nut allergies, and/or dietary restrictions:
Does the child use a self-administered medication?
Self-administered medication description:
Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Relationship to camp participant(s)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary/Cell Number
Format: (000) 000-0000.
Secondary/Home Number
Format: (000) 000-0000.
E-mail
I am the emergency contact for my child/children. Contact me first in the case of an emergency.
Emergency Contact Information
Emergency Contact's Name

First NameLast Name
Emergency Contact's Relationship
Emergency Contact's Phone Number
Format: (000) 000-0000.
Emergency Contact's Alt. Phone Number
Format: (000) 000-0000.
Emergency Contact's Email
example@example.com
Acknowledgement of Assumption of Risk
Please read Acknowledgment and Assumption of Risk before agreeing below.
Promotional/Photo-Video Release

Click the link above to view the PDF document.
I agree to the above Promotional/Photo-Video waiver
Miscellaneous
How did you hear about us?

Other
If you were referred by another organization, please list which one:
Scholarships & Supporter discounts

Scholarships: There are limited scholarships and these opportunities were initially determined during outreach efforts to Central Oregon organizations and non-profits that support families in various ways. Families who were selected for scholarships were provided with a scholarship code to use at check out. You can email us if you would like to inquire about any remaining scholarship opportunities or be added to a scholarship waitlist.

Supporters of The Environmental Center: If you are a supporter of The Environmental Center, during check out, please use the code that was provided to your family or contact us to request your code.

Contact info for Youth Eduation Program staff:

Becky Yaeger, Youth Education Program Manager, becky@envirocenter.org

Jessica Muñoz, Bilingual Youth Education Program Coordinator, jessica@envirocenter.org

Camp Costs/Costo De Campo

# of kids	No discount codes	Supporter Code (10% off)	Scholarship Code (50% off)
# de niños	Sin códigos de descuento	Código de patrocinador (10% de descuento)	Código de beca (50% de descuento)
1 child /niño	$280	$252	$140
2 children /niños	$280+$252 = $532	$252+$252 = $504	$140+$140 = $280

Scholarship or Member Code
If your family was eligible for a scholarship or a supporter discount, please enter the code here to have the discount applied to your tuition.
Price of first/only Child
Price of additional children
Siblings discount is 10% off for the 2nd child unless a scholarship is applied. (Hay u 10% de descuento para el segundo hijo/a, a menos que se aplique una beca.)
Price of Total Camp Tuition
Total calculates the Price of first/only child + Price of additional children and applies any discount codes. (El total calcula el precio del primer hijo/a (o el único) mas el precio de los hijos adicionales, y aplica cualquier código de descuento.)
Select the total number of children registered for this camp session:

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Credit Card Number	Security Code
Expiration Month	Expiration Year

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Canyon & Community Trekkers Summer Camp in Redmond July 13-16th, 2026

Please enter the child's/children's info first, then the parent/guardian contact info. You may register up to 2 children.

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