Create Student Leader

Student Information

* Required Field

First Name *

Last Name *

Nature Name

High School *

Graduated? Select GRAD

Grade Year *

Outdoor School is open to students in grades 10–12 only. Freshmen are not eligible to participate.

Student ID *

Pronouns *

Birthdate *

Race*

Sleeping Assignment *

Please select the cabin gender designation that is appropriate for your gender identity. This is the cabin you will sleep in alongside 6th graders. This may or may not be the same cabin as the one you lead during the day.

Are you comfortable leading a male cabin? *

If you don’t identify as Male+ you will sleep in the gendered cabin you’ve requested in the Sleeping Assignment.

Languages I speak fluently

You'll be using with 6th grade students

What name and pronouns do you want us to use for you when we communicate with your parents/guardian?

First Name with Guardian

Pronouns with Guardian

Parent First Name*

Outdoor School Details

Previous Leader *

Previous Site

Training Choice *

Student Leader Summit is a new opportunity you can join as a returner. This is an overnight experience to enhance your leadership skills.

How many times a Previous Leader? *

Friend Request One (Full Name)

Friend Request Two (Full Name)

Friend Request Three (Full Name)

Medical Needs

Dietary Needs

Notes for our staff

Accommodations, health concerns, severe allergies, IEP/504…

Extra care needs

Check any that apply so our camp nurses can prep for your needs. Leave blank if none apply.

IEP / 504

Type 1 Diabetes

Severe mobility issues

Recent surgeries

Severe food allergies

Contact

Phone Number *

Numbers only.

Parent/Guardian Phone * (for non-Graduate)

Numbers only.

Student Email *

Parent Email * (for non-Graduate)

Confirm Student Email *

Confirm Parent Email *

My Parent or Guardian speaks

Address

Street Address *

Apartment Number

City *

State *

Zipcode *

Numbers only.

Help Our Recruitment

How did you hear about Outdoor School? *

Staff or Friend you heard from? Your friend gets a prize for recruiting you - invite others to earn a prize too!