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(307) 755-0642 info@srom.org

Leave No Trace Master Educator

Let’s Get You Ready!

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STEP 2

REGISTRATION PAPERWORK

( 1 )

MEDICAL
FORM

( 2 )

terms of agreement

( 3 )

RISK
ACKNOWLEGEMENT

Let the adventure begin…

(1)  Medical Form

parent/Guardian/Adult Participant

This form must be filled out with the participant’s information. You will need the following to complete this form: 

  • List of medications, including dosage, side effects, restrictions, schedule, and for what condition
  • Immunization records, including year administered
  • Dates of significant injuries and illnesses
  • Primary Physician contact information
  • Health Insurance information (Policy Number, Group Number, Policy Holder, etc.)

(2)  TERMS OF AGREEMENT

parent/Guardian/Adult Participant

Please read the Terms of Agreement carefully! When you are finished reading, you must sign in the indicated areas. Please note, all tuition based information does NOT apply to this course as GOCO is covering all costs.

(3) RISK ACKNOWLEDGEMENT

All adult participants must fill out the Adult Risk Acknowledgement form.

parent/Guardian/Adult participant

Please read the Risk Acknowledgment carefully! When you are finished reading, you must sign in the indicated areas. 

WHAT’S NEXT?

 After you complete your paperwork, you will receive an informational email with a packing list, logistical outline, and policy overview. Please allow 3-5 business days to receive the informational email.