Names and ages of sibling(s) living in the same household.
If the child is not in legal custody of either parent, please explain the relationship of the guardian.
Does the child have any physical limitations that must be accommodated during an outdoor adventure?
If yes, please list state issued and certificate number of hunter safety course.
Please share how you heard about us.
Does the child have a Social Worker or Child Life Specialist? If so, please provide Name, Address, Phone and Email: