Please fill out the following registration form with the help of a parent or guardian. 

Please select which type of trip you are registering for
Date *
Please indicate the dates of the trip you are sigining up for
Student Name *
Student Name
Gender *
The school you currently attend
Address *
Address
Primary Phone for Correspondence *
Primary Phone for Correspondence
Your preferred phone to be called about all course-related information
Please list the name, relationship, and phone number of your 1st emergency contact
Please list the name, relationship, and phone number of your 2nd emergency contact.
Please list any allergies, medications previously taken or currently taking, and previous medical history (i.e. history of asthma, diabetes, cardiac issues, epilepsy, EpiPen).
Please list any and all dietary restrictions below, we will do our best to meet your needs.
Please include any information that might be relevant to our guides
Gear
Greenstone will provide tents, cooking supplies, medical gear, and food for each trip. Backpacks, sleeping pads, and sleeping bags are NOT provided, but are available for rent (10$ per item). Please indicate below what gear you would like to rent from Greenstone.
In signing up for this trip, what are you most excited about?
In signing up for this trip, what are you most nervous about?
Please tell us a little bit about yourself so that we can start to get to know you (i.e. favorite hobby, book, academic subject).