* Contact name
* Name of organization
* Phone
* Email
Program date requested
Program location YMCA Camp Collins, Gresham, OR Oregon Episcopal School, SW Portland, OR Mt. Hood Kiwanis Camp, Government Camp, OR Cedar Ridge, Vernonia, OR Tilikum Center for Retreats, Newberg, OR EarthTeach Forest Park, Ashland, OR Medford Parks and Rec., Medford, OR Whidbey Institute, Whidbey Island, WA
Group description
Estimated number of participants
Goals, objectives, and expectations for this program
Arrival Time
Departure Time
Additional needs Meals Indoor meeting space Overnight accommodations
How did you hear about Synergo?
Best way to contact you Phone Email
