Whitewater - Raider Wilderness Experience
September 23rd-26st
Pre trip meeting 6:00pm September 22nd at the Outdoor Program
Depart from the Outdoor Program at 8:00am September 23rd
Returns to the Outdoor Program around 4:00pm September 26th
Cost $350
Email address *
Last Name *
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First Name *
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Preferred name and pronouns
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Cell Phone Number *
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I agree to receive text messages with information regarding this trip. Standard messaging rates apply. *
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SOU Email address XXXXX@sou.edu *
This is the primary way that we will contact you with information about the trip.
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Alternate Email address *
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SOU student ID number (940-XXX-XXX) *
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The trip cost of $350.00 will be billed to my student account. *
Required
I will be moving into university Housing on Sunday September 22 starting at 9am. I understand the $75.00 cost for early move in will be billed to my student account. *
By acknowledging this box, you also understand that to cancel your participation and receive a full refund you must make your cancellation by 9/09/2019. No refunds can be made for cancellations made after 9/09/19. Cancellations can be made by email to longw@sou.edu *
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
What is your birth date? *
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Do you have any dietary restrictions or known food allergies? *
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Do you have any health restrictions, conditions or significant medical history(i.e. recent illness, hospitalization, surgery, etc)? *
This info will be kept confidential among the program director and trip leaders.
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Emergency contact name and phone number *
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Please acknowledge that all Outdoor Programs' adventures are 100% drug and alcohol free. Any substance use will result in immediate dismissal from the program. *
We ask all students moving in early to the residence halls, regardless of age, to not engage in the use of alcohol, marijuana, or other drugs. Marijuana and other drugs are never permitted in the residential system, but if you are 21 years or older, alcohol can be consumed in the residence halls (though not in public areas nor in the presence of minors); however, we are asking you to agree to not use any substances prior to September 27th, 2019, or you may be asked to leave until the residence halls officially open to students. Additionally students are expected to follow all Housing policies and the Student Code of Conduct during this time. Failure to do so may lead to you being asked to leave until the residence halls officially open to all students. Being in the residence halls prior to the academic year starting is a privilege, not a right. *
How did you find out about this trip?
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A copy of your responses will be emailed to the address you provided.
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