PAD2O Outdoor Ed Autobiography
Please fill out this autobiography to give us a little background on you.
Last name: *
First name: *
Period 1 teacher and course *
Just write the last name of the teacher and course code (IE. Brouwer PAD2O)
Period 2 teacher & course *
Just write the last name of the teacher and course code
Period 3 teacher and course *
Just write the last name of the teacher and course code
Period 4 teacher and course *
Just write the last name of the teacher and course code
Why did you choose to take outdoor ed? *
Do you have any outdoor experience? *
Check all boxes that are appropriate.
Required
How would you rate your fitness level? *
How would you rate your swimming ability? *
What are you most excited about in this outdoor ed semester? *
Check all the boxes that are appropriate.
Required
What are you most nervous about in this outdoor ed semester? *
Check all the boxes that are appropriate.
Required
Do you have any medical or injury concerns? *
If yes, please specify.
Do you have any food allergies? *
If yes, please specify.
Do you have any food dislikes? *
This is important for menu planning.
How would you rate your commitment to homework? *
What is your goal for your final mark in outdoor ed this semester? *
Do you have an IEP? *
Do you have access to a good computer with internet at home? *
Do you have access to the internet during class on your cell phone, Ipod, tablet or laptop? *
What would be the best way to get a hold of you in case of emergency? *
Example: You are late for the bus for the hiking trip. Provide number if appropriate (only used in emergencies)
Emergency Contact Person #1 (Name, Email, Phone #) *
Parent/Guardian
Emergency Contact Person #2 (Name, Email, Phone #)
Parent/Guardian
Would you be interested in receiving ORCKA canoeing certifications? *
ORCKA Basic Canoeing 1 & 2. Cost would be about $15 for course registration and badges.
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