Name: Day Outing to Amnicon Falls
Start: 2021-04-10T10:00:00-05:00
End: 2021-04-10T16:00:00-05:00

Day at Amnicon Falls*

Price: $20.00

Participant Information

Name*

First Last

Email*

Primary Phone*

Media Release

Say Cheese!*

I agree that images and audio taken during Northland College activities through video and photos may be used and distributed for publication as deemed appropriate by Northland College without any limitation in space or time, and waves any rights of compensation or ownership thereto.

Yes
No

Dietary Requirements

Please check the box that reflects your needs.*

Please take the time to provide us with any other necessary information.

I have no dietary restrictions.
I have dietary restrictions listed below.
I am a vegetarian.
I am a vegan.
I am gluten free.

I am allergic to the following foods:

Other dietary restrictions and things we should know:

Emergency Contact

Emergency Contact Name*

First Last

Emergency Contact Relationship*

Emergency Contact Phone*

Essential Eligibility Criteria

Sigurd Olson Environmental Institute outings and trips are open to all Northland College students, staff, and faculty who are able to meet the Essential Eligibility Criteria. Accommodations may be made as long as it does not compromise the health or safety of staff members or other participants or significantly alter the fundamental intended outcomes of the program.

Essential Eligibility Criteria are not intended to be exclusionary, but to honestly identify the basic and fundamental elements of outing or trip participation that are integrally tied to safety and risk management considerations. These criteria are the essential skills that each participant is required to perform for safety in each type of program offered and are applied equally to all potential participants.

Please read the EEC requirements.

Essential Eligibility Criteria Acknowledgement*

I have read the Essential Eligibility Criteria.

Participant Agreement

Please review the Participant Agreement carefully before signing. It contains important information about the programs at Northland College, and affects the legal rights of participants and families in the event of an injury or other loss.

All students, volunteers, and guests fourteen (14) years of age and older must sign below. If the Participant is a minor —under eighteen (18) years of age—a parent or legal guardian of that minor must also sign, for themselves, and on behalf of the minor.

Please indicate if you are participating as a minor:*

I am 18 or older.
I am under 18 years old.

Participant Agreement*

I have carefully read, understand, and voluntarily sign this Agreement and understand that I am surrendering certain legal rights for myself. I acknowledge that it shall be effective and binding upon me and our respective family members, heirs, executors, representatives and estates. Participant must sign below:

I consent to the Participant Agreement.

Participant Signature*

Participant Agreement - Under 18*

As a parent/guardian, I have carefully read, understand, and voluntarily sign this Agreement and understand that I am surrendering certain legal rights for myself and for a minor Participant for whom I sign below. I acknowledge that it shall be effective and binding upon me, the minor Participant and our respective family members, heirs, executors, representatives and estates. All Participants fourteen years of age and over, and the parent(s) or legal guardian of any minor Participant (under 18 years of age) must sign below:

I consent to the Participant Agreement.

Parent/Guardian Signature - Under 18 Participant*

Refund Policy

Cancellations made prior to seven (7) days before the event will result in a full refund.

Cancellations after seven (7) days receive no refund. However, at the discretion of the program coordinator, a refund may be offered in the following circumstance:

Short term illness or injury: If a short-term illness or injury prevents the participant from attending the scheduled session, the participant may reschedule to another session of equal or lesser value, during the same year only, provided space is available. If the new session has a higher value than the original session, the participant must pay the difference in tuition. Refunds will not be provided for transferring into a session of lesser value.

SOEI program sessions cancelled by Northland College will receive a full refund.

Refund Policy Agreement*

I understand the refund policy.

Payment Information

Total

$0.00

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card*

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MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Be certain to click the SUBMIT button. You will receive an email confirmation soon after submitting the form. If you do not receive an email confirmation, it means your form did not go through and you need to resubmit.

Comments

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April 10, 10:00 am–4:00 pm

Day Outing to Amnicon Falls

Register Today

Participant Information

Media Release

Dietary Requirements

Emergency Contact

Essential Eligibility Criteria

Participant Agreement

Refund Policy

Payment Information

Event Details

Contact

Register Today

Participant Information

Media Release

Dietary Requirements

Emergency Contact

Essential Eligibility Criteria

Participant Agreement

Refund Policy

Payment Information

Event Details

Contact

Networking 101 Part 2

Movie Showing

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