High School Surfing Adventure Camp Application

High School Surfing Adventure Camp Application

OMSI and Oregon MESA have partnered this summer to offer 6 incoming MESA high schoolers free spots in the Surfing Adventure Overnight Camp in Newport this August! Please read all the details carefully, and apply by filling out all contents of this form. Please note additional transportation support is available for Klamath Falls students.
Join us for our most action-packed adventure on the coast! Learn to surf this summer with OMSI and licensed surf instructors from Ossie’s Surf Shop in Newport, Oregon. Whether you've never surfed before or just want to improve your skills, You'll have the opportunity to gain board riding ability, confidence, and knowledge of our oceans. Plus, you will explore Yaquina Bay, hike the trails, and end the day around the campfire. No prior surfing experience necessary, but participants should be in good physical condition.

Dates: 8/4/2025 - 8/8/2025

Grade level: Incoming 9th, 10th, 11th, and 12th Graders

Type of camp: Overnight

Level of physical activity: Challenging Activity

Check-in and check-out location: OMSI - 1800 SE Water Ave, Portland, OR 97214

Check-in: 8/4/2025 7:00am

Checkout: 8/8/2025 5:00pm

*Alternative transportation options available upon request, please contact us after you submit this form for more information*

Primary Contact Information

This section is for the person who will serve as the primary contact for the camper.
Name

First NameLast Name
Email
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Camper Information

Please enter the camper information for one camper. For multiple campers please complete multiple forms.
Date of Birth

MonthDayYear
Grade in Fall 2025
Cabin Preference

Emergency Contact Information

Please list adults that can be contacted in the event of an emergency related to your camper and their camp. This includes yourself!
Emergency Contact

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Emergency Contact #2

First NameLast Name
Emergency Contact #2 Phone Number

Area CodePhone Number
Emergency Contact #3

First NameLast Name
Emergency Contact #3 Phone Number

Area CodePhone Number
Authorized Adults

Please list any additional adults, other than the emergency contacts you listed above, that have your permission to drop off or pick your child up from camp. Adults must be 18+ and show government-issued photo ID.
First NameLast Name
First NameLast Name
First NameLast Name
First NameLast Name
First NameLast Name
You're all done! You will receive an email by April 24th, 2025 with a confirmation if you've been selected, or waitlisted.
Should be Empty:

Why Camp?