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 Registration Form
Please fill out this form in its entireity. If changes need to be made once it has been submitted, please call the office at 541-973-2883.  
Once this form is completed, you can stop by the office and pay by check, credit card or cash, or call the office to make a payment by credit card.  Please note, all payments must be made prior to the clinic in order to hold the space.  There are no refunds.  Please see all our camp policies at www.medfordrogues.com 

01 Contact Information
02 Medical and Insurance
03 Experience
04 Clinic Selection
05 Waiver