First Name *

Last Name *

Email *
Please enter a GVSU student email address ending in @mail.gvsu.edu.

Phone *

Age by the date of the trip *
- Select Option Under 18 Over 18

Participants who are over 18 years of age are eligible to drive sedans and minivans for university sponsored events. Participants with a Michigan driver's license are strongly encouraged to become approved drivers, a FREE process through Public Safety, in order to help share the responsibility of making the 12-13 hour drive to HCR. Details regarding this process will be sent to you in the registration confirmation email.

In order to attend this trip, your parent/ legal guardian will need to complete the trip's acknowledgement of risk and release of liability form (aka. the waiver). A link to this form will be included in the confirmation email you receive upon submission of this form. Please forward the link to the appropriate person for completion and return it to a member of the trip staff before the departure date. 

Emergency Contact Name *

Relationship to you *

Phone *

The following questions have particular significance when immediate medical care is not readily accessible. Please answer as honestly as possible, to the best of your ability. Failure to complete this section will not affect your eligibility to participate but may help the leadership act appropriately in the event of an emergency. All responses will be confidential between you and the trip leaders.

Do you have any known allergies (food, medications, plants, animals, insects, etc.? *
- Select Option Yes No

Please describe what you're allergic to, your typical reaction & treatment

Do you have any known medical conditions/ concerns that could affect your ability to participate or that are triggered by exercise? *
Asthma
Diabetes
Epilepsy
High Blood Pressure
None
Not listed Please specify a value for Do you have any known medical conditions/ concerns that could affect your ability to participate or that are triggered by exercise?

Please describe your condition/ concern and typical method of control/ treatment.

Meals in camp will be provided by OA. What dietary restrictions do you have for us to account for when meal planning? *
Food Allergy
Gluten Sensitivity
Lactose Sensitivity
Low/ No FODMAP
Vegan
Vegetarian
None
Not listed Please specify a value for Meals in camp will be provided by OA. What dietary restrictions do you have for us to account for when meal planning?

Please explain your dietary restrictions.

The following questions are not meant to be indicative of trip requirements. They simply assist OA staff with the planning and preparation for the trip.

Choose an option that best describes your comfort with tent camping *
- Select Option I am perfectly at home in a tent I have done it before and am somewhat comfortable with it I have only done it once or twice and am not terribly comfortable with it I have never tent camped before

Have you climbed outside before (not a requirement for participation) *
- Select Option Yes, a handful of times Yes, but only once or twice No, this will be my first time!

Which climbing skills have you acquired (not required for participation, check all that apply) *
I have experience with crash pad placement and spotting
can properly put on a climbing harness
proficient top rope belayer
can properly tie into a climbing rope
sport lead climb qualified in the gym

Tents, Cookware, and technical climbing gear will be provided by OA as shared-use gear. Due to limited space we ask that you discuss bringing any of these items with a trip-leader before departure.

What gear will you need to borrow from OA? *
Climbing Harness
Climbing Shoes
Climbing Helmet
Headlamp
Sleeping Bag
Sleeping Pad
Flatware (plates/ bowles)

I hereby declare, assert, and affirm that my participation in the Grand Valley State University Outdoor Adventures trip (Trip) is done having voluntarily and knowingly assumed all risks involved in this event. The immediate physical risk(s) associated are those correlated with normal, vigorous physical activity. These risks include, but are not limited to, bodily discomfort and fatigue, muscular soreness, pulled or strained muscles, overuse injuries/soft tissue damage, bodily injury resulting from falls or misused equipment, environmental hazards such as extreme temperatures, weather, and encounters with flora/ fauna, and the rare instance of abnormal changes/responses of the cardiopulmonary system to exercise. Adverse responses include abnormal blood pressure, heart arrhythmias, and the very rare instance of heart attack, stroke, or sudden death.

In consideration of acceptance of this contract allowing my participation in the above stated Trip and intending to be legally bound thereby, I hereby for myself, my heirs, executors, administrators, and assigns, WAIVE AND RELEASE any and all rights and claims for negligence, injuries, damages, or losses that I may incur involved in the above stated Outdoor Adventures Trip, specifically Grand Valley State University, its respective employees, agents, representatives, successors, and assigns for any and all activities connected with the above Trip. If I am a Grand Valley employee (faculty or staff member), I also understand that I do hereby WAIVE any and all rights or benefits under the State of Michigan Worker’s Compensation laws for any injury incurred as a result of my participation in this event.

By signing below I acknowledge that I have read and understand the acknowledgement of risk and release of liability and am voluntarily signing it. If any term or provision of this release shall be held illegal, unenforceable, or in conflict with any law governing thei release, the validity of the remaining portions shall not be affected.

This is an OPTIONAL waiver. Failure to grant permission WILL NOT affect eligibility to fully participate in the trip.

By signing below, I hereby authorize Grand Valley State University to:

1. Record my likeness and voice on video, audio, photographic, digital, electronic or any other medium.
2. Use, reproduce, exhibit or distribute in any medium these recordings for any purpose that the University, and those acting pursuant to its authority, deem appropriate, including promotional or advertising efforts.

I give permission to Grand Valley State University to use, without charge and without reservation, my likeness in any medium and for any lawful purpose, including promoting the University, its programs and services.

I waive any rights of action I may have and release Grand Valley State University and its licensees from any and all claims I may have arising from my likeness, including any rights to sue for defamation or violation of my rights of
privacy and publicity.