First Name *

Last Name *

Major *

Minor *

Email *

Phone *

Best Phone Number for receiving Text Messages *

What is the best way to communicate about trip details? *
- Select Option E-mail Text GroupMe Text Not listed Please specify a value for What is the best way to communicate about trip details?

I would like to get together as a group during the winter semester to get in shape for the trip (walk/run at the track, hikes, etc.) *
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree

I am ready to commit to the 2024 Water in the West Program and pay my $300 deposit. *
- Select Option Deposit ($300.00)

Do you have any dietary limitations or preferences *
Vegetarian
Vegan
Omnivore
Gluten-Free
Not listed Please specify a value for Do you have any dietary limitations or preferences

Do you have any health conditions that may affect your participation in trip activities? *

Do you have any allergies such as foods or bee stings (please include all allergies)? *

Is there anything else about your health or dietary requirements that you would like to share?

I need help getting proper credit toward my major or minor for the trip? *
- Select Option Yes No Maybe

Do you have any other questions about course credit for the Water in the West Program?

Please submit your digital signature here.  I understand that by signing I am indicating that I plan to attend the 2025 Water in the West Program which includes signing up for 6 credits during the 2025 Spring/Summer Semester. I also understand that the balance of the program fee will be no less than $2,200 and no more than $2,900 ($700 deposit due by Jan 24 and balance due March 3).

I understand that the $300 deposit is non-refundable unless the program is cancelled or a replacement participant can be found to take my place on the trip.