Northwest College Wilderness Orientation Week Registration Form

In order to participate in the Wilderness Orientation Week program, you must complete this form by August 15, 2013.
You will need to pay the $65.00 fee in order to reserve your space on the trip. All fees must be paid through the Business Office at Northwest College. This can be done through check or credit card. You can contact the business office for payment questions at: 307-754-6048.

Northwest College will provide all equipment required for the week including camping gear, backpacks, sleeping bags, tents, stoves,
climbing equipment, life jackets, etc. The only thing required by the students is personal equipment including clothing, flashlight, eating
utensils and plate or bowl. Please see the equipment list at www.northwestcollege.edu/wow, or contact
keith.mccallister@northwestcollege.edu. You are welcome to bring any of your own person equipment as well. Any climbing equipment,
life jackets, etc. will require the instructors to inspect prior to your usage. If deemed unacceptable for any reason, we will provide you with
Northwest College Equipment for the duration of the program.

All students will be required to complete a medical form and release form prior to participation in the program. Any students under the
age of 18 will be required to have a guardian or parent sign both forms. If forms are not completed and returned prior to the program,
the student will not be allowed to participate in any manner.

Please complete this form by filling out all required information below. It is also advisable to contact the Outdoor Education office
after submitting the form to ensure it was received.

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