Oregon Student Association

* School

* Main Contact

Position

Street Address

Method Of Payment
(Please mark one)

Registration includes lunch. Cost is $25 per-person and the final deadline for registration is Friday August 15th.

1 I will mail a check ASAP payable to the Oregon Student Foundation and will send it to: 635 NE Dekum Street, Portland, OR 97211
2 I will bring a check to the event or pay by cash.
3 Please send an invoice to me at the address above. I will mail or bring a check afterward.

Please note
You are responsible for paying for the full number of individuals registered with your delegation even if less than that number show up. We make purchases based on the number of people pre-registered for the training. You can exchange individuals on this list with others even up to the day of the event without notifying staff so long as the total number of attendees has not increased or decreased.

Delegation Members
Please indicate the members of your delegation by writing their names and positions below.

How many vegetarians are in your delegation?

How many vegans are in your delegation?

Do participants in your delegation have any other special needs (please explain)?