Outdoor Supplemental Experience Application
Please fill out the information below to apply for a one possibly 2-day supplemental experience on August 27th-28th, 2022. We will notify individuals their status as soon as we can process applications and placement.
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Reed Student ID # *
Last Name *
First Name *
First and last name
Email *
Preferred Pronouns? *
Required
Phone number *
Which experiences are you interested in? *
($75.00) Stand Up Paddle Boarding the Willamette River
($175.00) Surfing on the Oregon Coast
($95.00) Backpack Overnight Mt. Adams (Sat-Sun Overnight Trip)
($50.00) Urban PDX Hikes, food carts and coffee
($50.00) Frisbee Golf tour and food carts
($100.00) Art Adventure - Art Museum and Paint Your Own Portrait Tour
($100.00)Basic Urban Biking Skills and Ceramics session
($50.00) Washington Park Naturalist hike
($175.00) Rafting the Deschutes River
($15.00) Sunday Evening 8/28 Circuit Bouldering Gym free climb (9:00pm -10:30pm)
#1 Choice
#2 Choice
#3 Choice
#4 Choice
If you are on Financial Aid, please indicate your level of need. Scholarships will be given to those most in need.
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Please tell us if you have any food, insect or environmental allergies that might affect your experience? Please tell us severity of reaction(Anaphylaxis)? *
Any prior health concerns, or past injuries that could affect your ability to do the chosen experience? *
Please link the following forms for medical and acknowledgement of risk prior to attending the experience. (IRIS Login required for forms). *
Required
Preferred Food type? *
Accessibility, If you are a student in need of accommodations due to disability, physical or otherwise, please let us know in advance so we can be as accommodating and inclusive as possible in our programming. You may also contact the Disability Support Services office to discuss your needs and other possible accommodations for your time at Reed.
Please let us know if there is anything else you want us to know about you or if you have questions.
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