Register Paypal Integration is needed – Parent Name(Required) First Last Email(Required) Phone(Required)Camper / Player InformationPlayer Name(Required) Age(Required) Which Camp?(Required) One Day - Ages 8-14 Two Day - Grades 10-12 T Shirt Size (Kids camp only) Small Medium Large Extra Large XXLarge No T-Shirt No T shirts will be provided for the high school camp. Back to School Grade(Required) School Emergency ContactContact Name(Required) Contact Phone(Required) Relationship to child(Required) Additional CommentsWe like to take pictures!If you do not want your child photographed for our website and future promotional materials, please check the box. Do Not Photograph Medical ReleaseThis is to certify that the above-named child has had a physical examination by a licensed physician within the last six (6) months and is free from any illnesses, injuries, or conditions which could inhibit the child from activities of the camp. I will notify coaches prior to the camp or clinic of any physical conditions that may inhibit play. I hereby release the Pacific Island Community of Oregon, its staff and sponsors from any and all liability (present and/or future) for injuries that may be incurred by my child while participating in camp activities. Yes No (will not allow your child to participate.) Accepted by: (Please type name to serve as signature of parent or guardian)PaymentAfter registration, you will be taken to a payment page. The cost of the youth camp is $50.00 and the cost of the high school camp is $250, plus a Paypal processing fee of $2.50 for youth, or $8.00 for high school. After payment you should receive a confirmation email from Paypal, that will serve as your registration number, and if you do not receive it, please contact us at info@picocamp.com.
