Rafting and Inflatable Kayak Skills Development Workshop

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Trip location: Tree of Heaven stretch of the Klamath River
Date: May 2nd from 9am - 6pm
Cost: $50 ~ Includes transportation, food, instruction and all required equipment
Experience level: Must be interested in guiding rafts or IKs
Trip size: 8 participants

Contact: sullivaa1@sou.edu

Last Name *

First Name *

Primary Phone Number *

SOU Email address *

This is the primary way that we will contact you with information about the trip.

Alternate Email address *

SOU student ID number *

This can be found by logging into "My SOU" on the SOU website.

Please acknowledge that your student account will be charged for the cost of this trip after the trip has occurred.You can pay this balance by logging onto "My SOU" on the SOU website. *

I acknowledge that my student account will be charged for this trip after the trip has occured

By acknowledging this box, you also understand that to cancel your participation in this adventure and receive a full refund you must make your cancellation by 4-30-2014. No refunds can be made for cancellations made after 4-30-2014. Cancellations can be made by email to outdoorprogram@sou.edu *

I understand and accept the cancellation policy

Will you be 18 years old or older at the time of this adventure? *

Please be aware that participants under the age of 18 will be required to have their parents or guardians sign the liability waiver form. To obtain a copy of this form via email, please email us at OutdoorProgram@sou.edu

Yes

What is your birth date? *

Do you have any dietary restrictions or known food allergies? *

All food on these adventures will be high quality, nutritious and plentiful. Vegetarian options will be available for all meals.

Do you have any health restrictions, conditions or significant medical history(i.e. recent illness, hospitalization, etc)? *

This info will be kept confidential among the program director and trip leaders. It is important to disclose this information!

Emergency contact person and phone number? *

Secondary emergency contact person and phone number ? *

Please acknowledge that all Outdoor Programs' adventures are 100% drug and alcohol free. Any substance use will result in immediate dismissal from the program *

I accept the above substance usage policy.

You are responsible for reviewing and packing appropriately according to the gear list. If you need help, contact the Outdoor Program at outdoorprogram@sou.edu *

Our gear lists can be found at : http://www.sou.edu/outdoorprogram/whattopack.html

I acknowledge that I am responsible for packing appropriately, according to this gear list. Failure to prepare properly may prevent me from going on this trip.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Southern Oregon University. Report Abuse

Forms