Student Information - Please fill out the following questions with your student's information
* Student Gender Female Male
* Grade (for the coming 2024-2025 school year) Select one 9 10 11 12
Trip Information
* T-shirt size (Adult) Select one Adult Small Adult Medium Adult Large Adult X-Large Adult XX-Large Adult XXX-Large Adult 4XL Adult 5XL
* Roommate Request (list the names of 1-2 people you'd like to be in a room with)
* Adventure Activity (Student's First Choice) Select one Rappelling High Ropes Course Caving Paintballing Zipline Tour Electric Bike Trail
* Adventure Activity (Student's 2nd choice, if their first choice is unavailable) Select one Rappelling High Ropes Course Caving Paintballing Zipline Tour Electic Bike Trail
* Adventure Activity Last Year (what activity did the student do at raft trip last year?) Select one Rappelling High Ropes Caving Paintballing Student was not at camp last year
Insurance
Medical
* Does the student have any allergies?
* Does the student have any medical/physical/cognitive conditions? (conditions like seizures, diabetes, learning disabilities, recent concussions, recent sports injuries...etc are extremely helpful to know about before the trip)
* Will the student be taking any medications while on the raft trip? If so, please list them.
* Is there any reason why you cannot white water raft? Select one Yes No
* Emergency Contact's Relationship to Student (ex: family friend, grandparent...etc)
Participation Agreement - I acknowledge that participation in the activity described above involves risk to the participant (and to the participant’s parents or guardians, if the participant is a minor), and may result in various types of injury including, but not limited to, the following: COVID EXPOSURE, sickness, bodily injury, death, emotional injury, personal injury, property damage, and financial damage. In consideration for the opportunity to participate in the activity described above (the “activity”), the participant (or parent/guardian if the participant is a minor) acknowledges and accepts the risks of injury associated with participation in and transportation to and from the activity. The participant (or parent/guardian) accepts personal financial responsibility for any injury or other loss sustained during the activity or during transportation to and from the activity, as well as for any medical treatment rendered to the participant that is authorized by the sponsor or its agents, employees, volunteers, or any other representatives (collectively referred to as the “activity sponsor”). Further, the participant (or parent/guardian) releases and promises to indemnify, defend, and hold harmless the activity sponsor for any injury arising directly or indirectly out of the described activity or transportation to and from the activity, whether such injury arises out of the negligence of the activity sponsor, the participant, or otherwise. If a dispute over this agreement or any claim for damages arises, the participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable alternative dispute resolution process. If the participant (or parent/guardian) and the activity sponsor cannot agree upon such a process, the dispute will be submitted to a three-member arbitration panel for resolution in accordance with the rules of the American Arbitration Association.