Name of Participant Applying *

First Name

Last Name

Participant Birthday *

MM

DD

YYYY

Name of Parent/Guardian *

Adult who is legally responsible for participant.

First Name

Last Name

Phone Number *

Primary phone number for receiving communication about the program.

(###)

###

####

Best Communication Method? *

Would it be best for us to contact you via phone (call/text) or email? You can check all if you don't have a preference.

Email

Phone (text)

Phone (call)

Indicate the outdoor activities the applicant has participated in. *

Check all that apply

None

Playing Outside

Outdoor Team Sports

Working Outdoors

Walking

Running

Hiking

Camping

Hunting

Outdoor School Activities

Other