Upward Bound Summer Camp Registration Form

(For best results, please fill out this form using the Google Chrome Browser.)

Please fill out this form to inform us of Summer Camp or Summer Bridge attendance.

Personal Information

Birthdate

T-shirt Size

Guardian Information

Dorm Room Information

Dorm Hall *

Other

Camp Information

Students are only allowed to miss eight (8) summer dates to still be eligible for the end of cultural trip. (**If submitting for a timed pick up and drop off i.e. Doctor's Appointment- Please see Summer Excused Absence Form in summer packet**) Please list all dates student will miss:

Please feel free to contact us at anytime at 580-327-8114.
Offices located in Vinson Hall 301, 303, 307, 309)

Northwestern Oklahoma State University

709 Oklahoma Blvd., Alva, OK 73717
Phone: (580) 327-1700

© 2008-2018 Northwestern Oklahoma State
University. All Rights Reserved.

Mission Statement

Northwestern Oklahoma State University provides quality educational and cultural opportunities to learners with diverse needs by cultivating ethical leadership and service, critical thinking and fiscal responsibility.

Proud Member of RUSO