Online Registration .::. Life of Adventure

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

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Online Registration Form

First Name
Last Name
Gender
Home Phone
Cell Phone
Email
Age (at time of trip)
Graduation Year
Current School
 


Parents' Names
Parent Email
Parent Cell #
Address
City, State, Zip Code
T-Shirt Size
How did you hear about Life of Adventure?


Trip Selection
(Select One)

LOA I: July 12th-20th, $375 College & HS Seniors
LOA II: July 21st-29th, $375 Coed High School
LOA III: July 21st-29th, $375 All Guys High School


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.