Forms

You will be notified by our staff when your application has been accepted (see button on CCSI Home page to apply). After you receive the acceptance email, please download these forms and return the signed copies with payment to EOU using the address supplied in the email. Thanks for joining us this year at Cottonwood Crossing Summer Institute!


REQUIRED – Sign and return this form even though you will be sending the payment with your paperwork.

Parent Financial Responsibility Form


REQUIRED – This form provides health information and authorization for emergency medical treatment.

Medical History and Health Insurance Form


REQUIRED – This form provides acknowledgement of and consent to participate in CCSI activities. Please read carefully and provide signature and initials from both student and parent/guardian.

Acknowledgement of Risk and Waiver of Liability


OPTIONAL – This form allows the parent/guardian to access student records including course grades.

Consent to Release Information Form


OPTIONAL – This form is a consent to participate in the research being conducted by the EOU Physical Activity and Health Capstone students. All students MAY participate in this research by wearing an activity tracker (fitbit) provided during the week of the program. It is REQUIRED only for students who are enrolled in the Human Physiology and the Environment project.

Consent to Participate in Research Form


If you have any questions or special needs concerning these forms, please contact MJ Heather using the phone number or email address provided.