Camp AQ Registration -- Welcome!                                                                                                                          

WHEN: August 8 - 11th   --   10 am - 4pm

WHERE: Calvery Presbyterian Church  (3516 NE 71st Ave -- near Wellington Park)

WHAT: Camp AQ is a 4-day day camp operated by Neighbors for Clean Air!

Targeted to serve kids 14-19 years old, attendees will gain:

   • An understanding of Portland’s air quality at large, including regulatory systems science and data, including
     sources and measurement
   • A synopsis of Portland’s environmental history through a racial justice lens.
   • Skills in support community advocacy efforts.
   • FUN!!

This form will take about 8 minutes to fill out.

Feel free to pass along to friends & family that may be interested in learning this material.

If you have any questions, don’t hesitate to contact Mary Peveto mary@neighborsforcleanair.org, Kristin Teigen kristin@neighborsforcleanair.org, or text Micah Bishop 503-956-1399
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Email *
Phone Number *
Name & pronouns *
Age *
Can you commit to 4 days of camp, August 8-11, 9am-5pm? This is Monday-Thursday. *
If No, how many days can you join us?
We are offering stipends for attendees. Do you need compensation to participate in our program? There are no barriers to this compensation -- all you have to do is ask! *
What is your primary mode of transportation? *
Name of Emergency Contact *
Email & Phone Number for Emergency Contact *
Emergency Contact's relationship to you *
How did you hear about our program? *
What questions do you have for our program team?
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