Outdoor Adventures Personal and Medical Information Form
Please fill out this medical form in preparation for your upcoming Outdoor Adventures trip. This form will be viewed by your Guides to help them prepare to best assist you in case of medical emergency during your trip. This information could also be shared with medical professionals, in the event that you are taken to further medical care. Please direct questions to OA Coordinator, Michelle Perrault, at mperrault@recreation.ucla.edu. If you have any concerns about possible medical problems, we encourage you to speak with your trip Guides. At least one of them is a certified Wilderness First Responder, and together you and the Guide can address your concerns. Outdoor Adventures aims to provide both safe and accessible wilderness experiences. We will do all that we are able to accommodate your needs, and also provide a safe trip for you and the group as a whole. Additionally, this form will provide you with the opportunity to communicate to your Guide Team more about your goals, abilities, and concerns going into the trip.

All participants are required to submit a completed form no later than the time of the Pre-Trip Meeting for their trip. Failure to meet this deadline could result in the loss of one's spot on a trip. At Outdoor Adventures we do our best to accommodate health and personal needs. The timely and thorough submission of this form is essential to this.

*Should any of your health information or needs change between the time of submission of this form and your trip's departure, it is your responsibility to notify your Guide Team.

This form is view-able by your Guide Team, OA Coordinator Michelle Perrault, and OA Student Supervisor Thomas Arndt.

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