Outdoor Club Registration 2023/2024
Advisor's Name
First Name
Last Name
Advisor's Preferred Pronouns
Advisor's Email
example@example.com
Advisor's Phone Number
Please enter a valid phone number.
Advisor's Job Title
School Name
School Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School County
Principal's Name
First Name
Last Name
Principal's Preferred Pronouns
Principal's Email
example@example.com
How many students does your club serve?
Does your club have a Co-Advisor?
Please Select
Yes
No
Co-Advisor's Name
First Name
Last Name
Co-Advisors Preferred Pronouns
Co-Advisor's Email
example@example.com
Co-Advisor's Phone Number
Please enter a valid phone number.
Co-Advisor's Job Title
Do you have a second Co-Advisor?
Please Select
Yes
No
Second Co-Advisor's Name
First Name
Last Name
Second Co-Advisor's Preferred Pronouns
Second Co-Advisor's Email
example@example.com
Second Co-Advisor's Phone Number
Please enter a valid phone number.
Second Co-Advisor's Job Title
Does your club have a student leader?
Please Select
Yes
No
Student Leader's Name
First Name
Last Name
Student Leader's Preferred Pronouns
Student Leaders Graduating year
Does your club have an Instagram or Facebook page? We would like to keep in touch!
Does your school host an outdoor leadership or education class?
Yes
No
Do you teach it?
Yes, I do
No, I dont
Who teaches this course? Is it offered to a specific grade only?
Is there anything else that you would like to share?
How do you want to pay the $50 registration fee? **If you are choosing to request an invoice, do not select the product below! Please note that if you are paying by card, there is an additional $1.43 processing fee that we must charge ($51.43). Thank you for understanding!**
Check, please email me an invoice
By Card, I will pay via the form below and will check my email for a receipt from Stripe
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Outdoor Club Registration 2023/2024
Annual registration fee of $50 + credit card processing fee - Thank you!
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51.43
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