Youth Program Registration & Insurance Request Form


Please use the following form to register youth programs sponsored by UO or hosted on the UO campus. Departments should complete a registration form for each youth camp or program annually.

Insurance: Risk Management recommends that UO departments enroll program participants in the available accident insurance coverage. This is commonly referred to as “Camp” insurance. Coverage is generally limited to medical expenses for accidental injury and accidental death and dismemberment.

To request coverage, complete this web form at least two weeks prior to the start date. You will provide an estimated number of participants; after the program, Risk Management will charge based on the final number of participants.




Complete the following section to register your program regardless of whether you will purchase insurance.






The official title of the camp, clinic, or activity.


Do not list multiple camps in this field. Departments must register each individual camp to be held.


(If on campus, provide the building name; if off campus, provide the building name and address)




If this is an overnight program please indicate the campus residence hall or if sleeping quarters are off campus please provide the street address/location. Indicate N/A if not an overnight program.


List all employees working over night, include title and very brief description of duties - If day program, skip to next question






Please follow-up with Risk Management when the activity is over; the insurance charge will be based on actual participant numbers.




Staff and volunteers should not be included in the number of participants and are not covered by this insurance.


Staff and volunteers should not be included in the number of participants and are not covered by this insurance. Please complete volunteer forms available on orm.uoregon.edu.



(Primary contact & position title - Note this must be a UO faculty or staff member















Risk Management expects university departments and program sponsors to purchase this insurance. It is particularly important for events involving minors, physical activity, overnight stays, or travel.


This will be reviewed by Risk Management.


By providing this information you authorize this cost to be charged to the indicated index.







Do you need a waiver for your program? Waivers of liability are recommended in some situations. Please visit the Risk Management website for more information.






Powered by Smartsheet Forms
Privacy Policy   |   Report Abuse
Your submission is being processed. Please do not close this browser window until complete.