Jack Mountain Bushcraft School Registration Form

Jack Mountain Bushcraft School Registration Form
Program*

Maine Guide Medic Wilderness First Responder Course (10/26-11/8, 2025)*Wilderness Bushcraft Semester, Session 1 (4/5-6/5, 2026)*Wilderness Bushcraft Semester, Session 2 (6/14-8/15, 2026)*Wilderness Bushcraft Semester, Session 3 (8/23-10/23, 2026)*Other
If other, please specify program: blanks
* GI Bill® approved program
Personal Information
Name*

First NameLast Name
Pronouns

She/her/hersHe/him/hisThey/them/theirsOther
Date of Birth*

MonthDayYear
Email*
example@example.com
Join the JMBS email list
Phone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country*
I have read the JMB School Policies*

Yes
Payment Preference
Method Of Payment
Going to our Tuition page (link) will give you a detailed description of payment methods.
Will you be using the GI Bill®?*
GI Bill ® is a registered trademark of the U.S. Department of Veterans Affairs (VA). More information about education benefits offered by the VA is available at the official U.S. government Web site at http://www.benefits.va.gov/gibill.

Medical Information
Your well-being during the program is important to us. Sharing this information with us is optional. If you feel comfortable, please let us know if you have any medical conditions, allergies, or special needs that we should be aware of. This information will remain confidential and will help us ensure that we can provide the necessary support and accommodations for a safe and enjoyable experience for everyone.

If you prefer not to share this information at this time, please know that you can always discuss it with us privately before the program starts.
Any known allergies or medical conditions (e.g., allergies to medications, food, insects)
Current medications being taken
Special needs or requirements
Any other pertinent information that could be helpful in case of emergency (e.g., specific contact preferences, alternate emergency contacts, important medical history).
Emergency Contact Information
Contact Name

First NameLast Name
Contact Phone Number
Alternate Phone Number
Contact Email
example@example.com
Relationship To Participant:
e.g., parent, spouse, guardian
Introduce Yourself
To get to know you better before the program starts, we invite you to share a little bit about yourself. This is your chance to tell us your interests, your background, and anything you'd like us to know. Feel free to write as much or as little as you'd like.

Since the possibility of us meeting in person before the course is low, this essay is all about helping us understand who you are. No need to worry about grammar, style, or structure. We don’t use it as a basis for admission decisions - only to get a feel for who you are and where you’re coming from. Just be yourself and share what matters to you.
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Jack Mountain Bushcraft School Registration Form

Personal Information

Payment Preference

Medical Information

Emergency Contact Information

Introduce Yourself