Adopteen Midpoint Retreat 2017 - Portland, OR
(ages 13+)

~Please email info@adopteen.org if registering more than two siblings.~

January 14 - 16, 2017
YMCA Camp Collins
Portland, OR

Registration Deadline: 12/16/2016*

Registration fee: $280/camper
(Covers all 3 days & 2 nights accommodations, meals, and activities.)

*Registration will close at 50 campers or on December 16, 2016, whichever is reached first

Personal Information
First Name:  
Last Name:  
Parent(s) Name(s):  
Birth Date:
(i.e 12/12/1989)
 
Birth Province/Country:
Address:  
City:  
State/Province:  
Zip Code:  
Primary Phone:
Primary Email:
Secondary Email:  
Preferences
Vegetarian diet:
Kosher diet:
Gluten-Free diet:
Other diet:
Requested Roommates
(up to 3, if any)
T-Shirt Size
(Adult Sizes):



 
How did you hear about Adopteen?
If other, please explain:  
Additional Information
I am allergic to
(please check all that apply):









Please list allergies:
Any medical conditions we should be aware of?

Adopteen Event Payment

Would you like to set up a payment plan? We're happy to help! Please email info@adopteen.org for more information.


 

Refund Policy:
If you find that you are unable to attend the Adopteen Event after you have completed registration, please let us know as soon as possible and no later than TWO WEEKS before the registration deadline for a full refund of your registration fee. Those who register after this date will not be eligible for this refund policy.

Additional Information:
For more complete event details, please visit the 'Events' tab.
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Upon Submission of Registration:

You will receive an email immediately following your registration to confirm the succesful submission of your registration. If you do not receive this email within 24 hours, please email adopteen@adopteen.org or call us at (303) 850-9998 x44.