Registration .::. Life of Adventure

Please fill out the entire form below. Once you are finished, click on the 'Submit' button at the bottom.

Online Registration Form

First Name
Last Name
Gender	Male Female
Home Phone
Cell Phone
Email
Age (at time of trip)
Graduation Year
High School
Parents' Names
Parent Email (only one)
Parent Cell #(only one)
Address
City, State, Zip Code
T-Shirt Size
How did you hear about Life of Adventure?
Trip Selection (Select One) LOA I: June 20th-28th, $350 LOA II: July 2nd-10th, $350 LOA III: July 11th-19th, $350
Note: A 'What To Bring List' will be emailed to you once your registration is complete and you have been accepted on one of the trips.
Short Response: In this space, briefly explain (1-2 paragraphs) why you want to go on this trip and what you hope to get out of it.