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In This Section

Experiential and Adventure Program Statement of Health Form

Experiential and Adventure Program Statement of Health Form

Participant

Contact

Health Information

Describe conditions, treatments where possible, allergies (ex. insect stings, drugs, food)

If you need to carry a Epinephrine please inform instructors where you keep it.

Diabetes, Epilepsy, etc.
Heart or back problems, high blood pressure, etc.
Phobias, etc.
If the person named in the Participant section of the Health form is underage, they must have a parent or guardian electronically sign the document generated from submission.

Once you click the submit button an electronic document requiring a signature will be generated.

Parent/Guardian of minor if applicable

Additional/Contact Info