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WILDERNESS ORIENTATION ONLINE FORMS
First Name
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Last Name
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Preferred Name
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Birthdate - MM/DD/YYYY
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Gender
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Your age on the first day of the trip.
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Under 18
18 years or older
Participant Phone Number
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UCSD Email Address
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Other/Non-UCSD Email Address
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Student Type
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Incoming Undergraduate Student
Incoming Transfer Student
Incoming Graduate Student
Incoming SOM Student (MS1)
Continuing SOM student (MS2+)
College
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ERC
Marshall
Revelle
Warren
Muir
Sixth
Expected Major or Graduate Degree Program
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Residency
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California Resident
Non-resident (Out of State)
Non-resident (International)
Status
Underrepresented minority
First generation college student
Student from low income family
None of the above
Which WO trip have you registered for?
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San Diego Coast to Summit 8/22-25
Catalina Island Adventure 9/9-9/14
Sierra Nevada Backpack 8/29-9/6
Sierra Nevada Backpack 9/10-9/18
Transfer Sierra Nevada Backpack 9/10-9/18
Sea Kayak Baja California 8/29-9/6
Sea Kayak Baja California 9/10-9/18
Baja Surf Safari 8/29-9/6
Baja Surf Safari 9/10-9/18
Black Canyon Canoe 8/29-9/3
Black Canyon Canoe 9/10-15
School Of Medicine Pre-O 8/23-25
Grad School Black Canyon Kayak 8/29-9/3
Please provide your order number from your confirmation email. The number will be O-######.
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We noticed that you are a transfer student but selected that you registered for the backpacking trip on the same dates that is open to both incoming 1st year and transfer students. Please confirm the following.
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I want to move to the transfer only backpack trip if there is space available.
I want to stay on the trip that I say I registered for.
Method of travel to get to Wilderness Orientation/San Diego?
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Driving myself
Parent/friend dropping me off
Flying
Bus
Train
Flight/train/bus arrival time? If you have not booked your reservation, please put "Do not know yet" in the field.
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Method of travel to depart Wilderness Orientation/San Diego?
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Driving myself
Parent/friend picking me up
Flying
Bus
Train
Flight/train/bus departure time? If you have not booked your reservation, please put "Do not know yet" Be sure not to book departure flights/reservations prior to 12/noon.
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OPTIONAL SCUBA DIVE RSVP -
Do you want to scuba dive during the Catalina Adventure?
All Catalina Island Adventure participants will be able to snorkel on the trip, but there is also an option to scuba dive. The dive is run by the
Malibu Divers
shop on the island. There are two dive options, each include all necessary equipment. The dive fee would be paid directly to Malibu Divers separately, before the trip. There may be an option to pay for additional dives on the island when you arrive.
1. Certified Divers ($100)-must already be dive certified.
2. Discovery Dive ($125)
-scuba experience for anyone that is not certified.
Additional dives $50. All prices subject to change.
We ask that you RSVP now to provide the dive shop a general head count, and we will send out a sign up link a few weeks prior to the trip.
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No-I do not plan to scuba dive.
Yes-I plan to do the Discovery Dive ($125)
Yes-I am certified and want to dive ($100)