Float the San Juan- Peak Program

Sunday, August 18, 2024 at 9:00 AM until Friday, August 23, 2024 at 12:00 PMMountain Daylight Time UTC -06:00

Thank you for your interest in participating in Float the San Juans. Registration for the event is currently full. By filling out this form you will be added to the waitlist. If a spot opens up you will be automatically registered for the event and promoted to pay the $350 registration fee. Please note that by filling out this form you are not registered for Float the San Juans.

Student Information

Fort Lewis College ID#

First Name

Middle Name

Last Name

Preferred Name

Pronouns

Birthdate

Are you 18 years or older?

Yes

What academic area do you plan on majoring in at FLC?

Student Contact Information

Mobile Number

Email Address

Emergency Contact Information

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Email Address

Additional Information

How did you hear about Peak Experiences?

T-Shirt Size (Unisex)

Do you have any special dietary needs (vegetarian, vegan, dairy, allergies etc.)?

Please provide details about your dietary restrictions, specifically what you will/won't eat. For instance, if you have a peanut allergy, are you able to eat foods that "may contain peanuts" or " made in a factory with peanuts".

List any equipment you may need. Check out the packing list.

Briefly describe any medical conditions/special considerations to help us support your experience.

Please rate your level of experience with rafting on a scale of 1-5 (5 being experienced 1 being beginner).

Are you requesting financial support for the application fee?

Yes

If YES to assistance please answer the following questions:

1) Why do you want to attend Float the San Juans Peak Experience?
2) How do you think Float the San Juans will enhance your first-year at FLC?
3) What do you think the most challenging aspect of college is going to be?

Type your initials if you agree to the waiver at http://fortlewis.edu/floatwaiver
**If under 18, parent or legal guardian must initial to agree to the waiver

Once you hit submit you will get a confirmation email with a link to pay the $350 program fee. Please disregard this payment link if you have requested financial assistance.