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Outdoor Education PE Class Registration Form
Please fill out all fields required
Please complete this form to register for an Outdoor Ed PE course. Participants will be registered on a first-come, first-serve basis according to the time of enrollment. You will be notified via email that your form has been received. We will also notify you if you have been placed on the wait list and you will be given an opportunity to enroll in a different course at that time. If you have questions please call 228-7972. Thanks for registering for a course with Outdoor Ed!

Course Title

Student Name
First:

Last:

Class Year

Contact Information
Email:
Mail Box #:
Phone #:
Gate Card #:

Agree to charges? (This fee is non-refundable)
Check this box, to agree to have your 'Gatecard charged immediately.