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Highlander Wilderness Adventure Application

  • Personal Information

  • Parent/Guardian Information

  • Emergency Contact Information

    Person to notify, if parents cannot be reached, in case of emergency.
  • Medical Information

    Please complete all necessary forms by July 31st.

    The Highlander Adventure Program is geared to persons in average health, but we want to be aware of special health issues which you may have that could cause complications on the trip. Our college health staff needs to review your health form before the program begins. List any problems or medical information about yourself that would be a concern on the program. For example: Allergies, emotional concerns, recent surgeries, etc.

  • This field is for validation purposes and should be left unchanged.