Camp Program Dates

2018 - NON-SUMMER

• March 30 - April 2
• October 26-29
• November 21-25
• December 24-26

2018 - SUMMER

• June 20-23
• June 25-29
• July 2-6
• July 22-26
• July 23-26
• August 1-4
• August 6-10
• August 13-17
• August 20-24

Forms for Campers

Just click download file. Then print, complete and send to: 
Upward Bound Camp
Po Box C
Stayton, OR 97383

New Camper Registration Form
File Size:	503 kb
File Type:	pdf

Download File

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Returning Camper Registration Form
File Size:	178 kb
File Type:	pdf

Download File

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Supplemental forms below must be completed every 2 years by returning campers or by request of the registrar.

Registration Supplemental
File Size:	366 kb
File Type:	pdf

Download File

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HIPPA Compliance
File Size:	95 kb
File Type:	pdf

Download File

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Personal Standing Order
File Size:	129 kb
File Type:	pdf

Download File

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Health Disclosure/Physical
File Size:	127 kb
File Type:	pdf

Download File

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Optional Forms

Campership Application
File Size:	284 kb
File Type:	pdf

Download File

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* Please note that Camper-ship Applications have to be received NO LATER THAN April 1st of the year a camper-ship is requested to be considered. No applications received after the deadline will be considered for that year's camper-ship.
* Campership(s) are awarded to Self - Pay clients only. No Brokerage or DDS applicants will be considered.

Special Diet Request Form
File Size:	81 kb
File Type:	pdf

Download File

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Camper Packing List

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REGISTRATION F.A.Q.S.
​(Frequently Asked Questions)

• HOW DO I REGISTER?
  • 3 OPTIONS:
    • Download forms at www.upwardboundcamp.org
    • Paper forms via US Mail
    • Electronic forms via email (by request)
• WHICH FORM DO I FILL OUT?
  • FULL APPLICATION if:
    • New Camper
    • Application for returning camper is older than 2 years
  • RETURNING CAMPER APPLICATION if:
    • Returning Camper has filled out a full application within last 2 years
• HOW MUCH IS CAMP?
  • SUMMER CAMP
    • $929
  • RESPITE/RELIEF CARE
    • $19 per hour
    • $150 per 8-hour day
    • 232.25 per 24 hours
  • DAY CAMP
    • $150 per 8-hour day
• WHEN IS THE REMAINING BALANCE OF CAMPER FEES DUE?
  • PRIVATE PAY
    
    • Due to Federal changes, as of April 1, 2018 full payment is due at the time of registration to guarantee enrollment
    • Please contact the office if this presents a hardship
  • BROKERAGE/DDS PAY
    • Your PA or Case Manager is responsible for paying your camp fees
    • Please make sure that your PA or Case Manager is aware of your camp application so that the necessary forms can be completed and sent to Upward Bound
• WHAT KIND OF PAYMENTS DO YOU ACCEPT?
  • CASH
  • CHECK
  • MONEY ORDER
  • BROKERAGE
  • PARTIAL SCHOLARSHIPS
• HOW DO I GET A SCHOLARSHIP?
  • Contact our office to request a Campership Application
• WHEN IS CAMP?
  • SUMMER CAMP
    • Summer session dates are on our forms
  • RESPITE CARE
    • Evans Creek Respite during the summer is available in July ONLY
    • Our new Gates facility can do respite or relief care any day of the year with prior registration
  • DAY CAMP
    • Tuesday/Wednesday/Thursday every week of the summer beginning June 19th thru September 6th
    • The rest of the year by Respite Registration
• WHEN WILL I KNOW IF MY APPLICATION HAS BEEN ACCEPTED?
  • Please allow a minimum of 2 weeks from the day registration and down payment are received by us
  • If additional information is required we will send out an acknowledgement letter with information about how to finalize your registration
  • Confirmation Booklets go out 1 month before Camp Session
• WHICH CAMP SHOULD I SEND/ATTEND?
  • 3 OPTIONS:
    • If you don’t know which camp your camper might want to attend we can have the registrar and the camp nurse place them in the session best suited for them after reviewing their application
    • Is there anyone they regularly attend camp with that they would like to attend with again this year? It’s possible their friends have already registered. Feel free to contact us and we will check.
    • When was last camp attended? Was it a good fit and would you prefer to come around the same time again this year? Just let us know. Don’t know when last camp was attended? Contact our office and we can look it up.
• WHICH RATIO DO I SELECT ON MY FORM?
  • 2 OPTIONS:
    • Please disregard that on that specific form as that form is old and we don’t use that system anymore
    • We’d be happy to send an updated form via mail/Email/Fax if you’d prefer