Outdoor Program Trip Sign-up
Use this form to sign up for Outdoor Program TripsĀ 
Email *
I am signing up for: *
Last Name *
First Name *
Preferred name and pronouns
Cell Phone Number *
I agree to receive text messages with information regarding this trip. Standard messaging rates apply. *
Required
SOU student ID number (940-XXX-XXX) *
*
Required
By acknowledging this box, you also understand that to cancel your participation and receive a full refund you must make your cancellation no later then 2 weeks prior to the trip. No refunds can be made for cancellations made after that deadline. Cancellations can be made by email to outdoorprogram@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? *
Do you have any dietary restrictions or known food allergies? *
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.
Emergency contact name and phone number *
Please acknowledge that all Outdoor Programs' adventures are 100% drug and alcohol free. Any substance use will result in immediate dismissal from the program. *
How did you find out about this trip?
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Southern Oregon University. Report Abuse