T-Bird Outdoor Connection Registration Form

T-Bird Outdoor Connection Registration Form

Welcome to SUU T-bird Outdoor Connection! Please complete this form to register for T-bird Outdoor Connection September 1st-4th, 2020. Once you register a payment link will be sent to you. Your place will be secured once payment is received ($220). Please know this information will be confidential and will only be shared with the TOC Program Coordinators and your TOC Trip Leader. Know you will be receiving information via email throughout the summer on TOC once your place is confirmed. Please email courtneyshively@suumail.net with any questions you may have. We are excited to adventure with you!
Email address *
Name (First & Last) *
Phone Number *
T#
Street Address *
City, State *
Zip Code *
Gender *
T-Shirt Size *

Small Medium Large XL XXL
Select Your Trip!
Please select which trip you'd like to attend from the following available options (Canyoneering - FULL, Rock Climbing - FULL) *

Hiking/Swimming
Equipment Reservation

The TOC program will provide the group's gear: tents, stoves/fuel, pots/group serving utensils, climbing ropes/helmets, canyoneering ropes/helmets & a group first aid kit. Each participant will receive a more detailed equipment list for personal gear, but to make sure you have the required essentials beyond clothing (sleeping bag, sleeping pad, rain gear, & a headlamp), please feel free to rent any essentials you do not already own or plan to purchase from SUU Outdoors for TOC. SUU Outdoors is a facility on campus where you can rent outdoor gear. Any reserved gear will need to be picked up on Friday, prior to the start of TOC and returned on Monday when the program ends. This link will take you to the SUU Outdoors website where you can view available gear to rent as well as pricing, and includes contact information for you to use to reserve your gear: https://www.suu.edu/outdoors/outdoor-center.html
Health History & Dietary Restrictions
Do you have any allergies we need to be aware of in the field for TOC? (bees, food, plants, medications?) Please describe the allergy or allergies and how you take care of yourself if exposed to the allergen (ie. do you have an epi pen?) If you do not have any allergies, please say, "none." *
Please list any medications (prescription or over the counter) you take and describe why you take the medications. Say "none," if there are none. *
Please list any past or current injuries or illnesses you have and describe how you will need to care for it while on TOC (ie. asthma, diabetes, past sprains/breaks, psychological concerns, ADHD, heat illnesses, cold illnesses, etc.). If you can't think of any, please say, "none." *
Dietary restrictions *

None Prefer Vegetarian Prefer Vegan Gluten-free Lactose Intolerant
How would you rate your physical condition? *

I am healthy and fit. I enjoy rigorous exercise at least 3+ times each week and am ready for my adventure's activities. I am healthy, and somewhat active. I enjoy rigorous exercise 1-2 times each week and am ready for my adventure's activities I have limitations, but know how to adapt to participate in my selected TOC activities. I have described my limitations above.
Do you have any other concerns or needs we need to address so you can fully be present and enjoy your TOC experience?
Final Details
Why are you interested in TOC? *
Do you have any questions for us?
Finally, to confirm the next step, know your reservation will be confirmed once payment is received: *

I understand the TOC program will cost $220 and I will be redirected to a secure online payment site. I will send my check for $220 to SUU @ T-bird Outdoor Connection c/o SUU Outdoor Engagement Center, ST 172, 351 W. University Blvd, Cedar City, UT 84720.
*This fee will be used to cover all meals, transportation, campsite fees, park entrance fees, gear rentals for all trips (helmets, ropes, etc.), tents, trip t-shirts, etc.
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T-Bird Outdoor Connection Registration Form

Select Your Trip!

Equipment Reservation

Health History & Dietary Restrictions

Final Details