Create Student Leader

Student Information

* Required Field

First Name *

Last Name *

Outdoor School Name

High School *

Grade Year *

Outdoor School is open to students in grades 10–12 only. Freshmen are not eligible to participate.

Student ID *

Pronouns *

Race*

Birthdate *

Sleeping Assignment *

Please select the cabin gender designation that is appropriate for your gender identity. This is the cabin you will sleep in alongside 6th graders. This may or may not be the same cabin as the one you lead during the day.

Languages I speak fluently

You'll be using with 6th grade students

What name and pronouns do you want us to use for you when we communicate with your parents/guardian?

Name your Guardian calls you

Pronouns your Guardian uses for you

Guardian's First Name*

Outdoor School Details

Site Choice *

Please select your preferred site. If your preferred site is full, you will be assigned to a different site.

Workshop *

Previous Leader *

Previous Site

How many times a Previous Leader? *

Personal Details

Medical Needs

Dietary Needs

Notes for our staff

Important callouts such as, "I need to borrow a rain coat size medium" or "I have a zoom class I need to attend on Thursday."

Extra care needs

Check any that apply so our camp staff can prepare for your needs. Leave blank if none apply.

IEP / 504

Type 1 Diabetes

Severe mobility issues

Recent surgeries

Severe food allergies

Contact

Phone Number *

Numbers only.

Parent/Guardian Phone * (for non-Graduate)

Numbers only.

Student Email *

Parent Email * (for non-Graduate)

Confirm Student Email *

Confirm Parent Email *

My Parent or Guardian's primary language

Address

Street Address *

Apartment Number

City *

State *

Zipcode *

Numbers Only.

Help Our Recruitment

How did you hear about Outdoor School? *

Staff or Friend you heard from? Your friend gets a prize for recruiting you - invite others to earn a prize too!