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Our National Professional Development Catalog has more information about the Outward Bound Courses.
If you would like to attend an Outward Bound Educator Course, please complete all information below. The (*) symbol denotes a required field. To register for more than one course, you must fill out a new copy of this form for each event.
(*) First Name:
(*) Last Name:
(*) Sex: M F
Home Mailing Address: (*) Street Address:
(*) City: (*) State: (*) Zip:
(*) Home Phone:
E-mail Address: (Important: we will send correspondence to this address. Please double-check spelling!)
School Mailing Address: (*) School Name:
(*) Street Address:
(*) School Phone:
Outward Bound Educator Courses (*) Please check the Outward Bound Educator Course you would like to register for.
For more information about Outward Bound Educator Courses click here, or call (845) 424-4000 Ext. 200, or e-mail: [email protected].
I understand attendance on courses requires a completed medical, consent and travel form to participate in activities and that final acceptance on this course is contingent on the receipt (on or before the form due date) and approval of these forms by the Outward Bound School.
(*) Yes, I have read the above statement and agree to its conditions.
(*) Yes, I understand that in the event I need to cancel, I need to fax or e-mail my cancellation (FAX to 845-424-4280, e-mail to [email protected]).
(*) Select one: School covered by EL contract. Not covered by EL contract (I will send the full payment upon acceptance of my application).
