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NFNC Exploratorium Camp 2019 Application Form


EXPLORATORIUM CAMP Registration is open starting
March 15, 2019 at Noon PST until camp is filled


We consider camp a growthful co-creation of all who show up. We limit the size
of camp to enhance community connection. For this reason we are continuing to experiment
with our application process. We appreciate your participation and patience.

If you've been accepted and have found you cannot attend, please contact us as soon as possible.
You cannot sell your spot.

We are actively seeking property to be used for Exploratorium Camp and
year-round community events. If you are interested in contributing a tax-deductible
gift please send a separate check made out to New Culture Institute and mail to New
Culture Institute, PO Box 50388 Eugene, OR 97405. Thank you for your kind support.

Full value of camp is $500. Send a $200 deposit to secure your place. Complete your payment by self-determined gift at the event.

If we organizers should fail to give you a great camp experience - you owe us nothing more than the $200.00 you gave up front. If we succeed (and we will be asking all of our campers for feedback on how to do it better each day in case we're bombing) you make a choice if you would like to give us some, or all, of the rest of your fee.

Scholarships are available. Outdoor camping, indoor group sleeping space and all are meals included.

(fields marked * are required)

8 Day Exploratorium Camp - June 14 - July 21

Camp

Deposit $200
Amount I Will Pay *

I wish to bring an RV to camp: surcharge TBD--Please contact the registrar

If applying for a scholarship, enter how much of a deposit you can pay. Additionally, you MUST send an email asking about scholarships to ecscholarship@nfnc.org. Also, use the Comment field at the bottom of this form to tell us a bit about yourself and your need.

Note: if you qualify and are applying for the second week only, we still have several slots available; you'll not be put on the waiting list at this time, but rather moved directly into consideration for camp.

Tax Deductible Contributions

To make tax deductible contributions to camp, click here.
IMPORTANT

Waiver Release Form

Please note that you must sign the following waiver release form
when you first arrive on site, before you will be admitted to camp.
This is requied to legally protect you, us, and the property:

“I understand that Exploratorium Camp will offer a variety of activities that can be physically, mentally, and emotionally challenging. The level of my participation in any of the activities is at all times completely my choice. I may stop or say “no” at any time. In the event of an emergency, I give the Exploratorium Camp 2019 staff permission to call an ambulance or physician. I release the Exploratorium Camp staff, NFNC, and NCI from all liability for any injury to me resulting from my participation. This release also applies to the minors listed on this registration form for whom I am responsible.”

ATTENTION

*** Note: You must fill out a separate registration form for each adult who
wants to attend camp. Please comment if you are a part of a family unit.


Name and Address
Name *
Address *
City *
State/Prov. (2char) * Your Pronoun
ZIP/Postal Code *

Contact Info
Your Date of Birth * / /
Email *
Home Phone (please enter at least
Mobile Phone one phone number) *
Emergency Contact Name *
Emergency Contact Phone *



Comments, Questions and Concerns

Please share with us a little bit about yourself and why participating in this camp is important to you. Anything else? Coming with someone?


We are committed to making Exploratorium Camp available to people of all colors, ethnicities, national origins, religions, genders, sexual orientations, abilities, and ages (15+). If you wish to identify with a particular group(s) or identity(ies), please do so here.

Do you have any special needs or medical/psychological issues the organizers should know about? This information will be kept confidential to the organizers.

By submitting your application you agree to pay the full camp fee listed on your application if accepted to camp.

Submitting your application does not guarantee that you will be attending Exploratorium Camp.

You will receive notification about your acceptance to camp as soon as possible. After receiving this notice you will have two weeks to send in your payment via Check, Money Order, or Stripe. If you do not submit your payment by the two week deadline your place at camp will be given to a camper on the waitlist. You will be emailed a packet with detailed camp information in early June, with a map, directions, and other important information.


Nearest Airport is in Medford, OR. (just under an hour drive away)

Questions? Contact ecregistrar@nfnc.org