Outdoor Recreation Student Information Form

For the 2024-2025 school year

"*" indicates required fields

Participant Information

Date of Birth*

Primary Parent Contact Information

Primary Parent Name*
Primary Contact Address*

Other Parent Contact Information

Other Parent Name
Other Parent Address if different from above

Additional Information

ie: West Vancouver, North Vancouver, etc.

Student Comments

Describe why you want to be a part of this program & what you want to get out of it.
Good communicator; good judgment; leader; team member; good listener; problem-solver These are some examples of interpersonal skills. Describe your top 2 interpersonal skills that you would bring to the program.

Parent Comments

Reference Letters

Drop files here or
Max. file size: 5 MB.
    The program can support a maximum of 24 participants and students will be selected based on a combination of their report card comments and grades, application details, and appropriateness of the program. All students will be interviewed and will participate in a sample group outdoor activity to make sure the program is the right fit for them. Eligible students must have demonstrated that they are responsible learners and will be able to maintain their academic standard while on multi-day trips. Eligible students not selected will be placed on a wait-list. Providing equal access to this program for students from all three high schools is a priority.

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