Please complete the information below to apply for a spot in the 2012 First Flight Program. A non refundable $100 deposit is required to register for First Flight. Remaining balance can be placed on the Fall University Bill or paid with a check. Applying does not guarantee a spot in the program. Space availability and payment must be confirmed before registration is complete. Thanks!
Please provide the following contact information:
First Name Last Name Street Address Address (cont.) City State/Province Zip Code Home Phone Cell Phone E-mail Attention: Please ensure your spam or junk mail filters allow access to adventure@uwlax.edu, this is the address that First Flight uses to communicate with all participants. T-shirt Size
Please provide the following program information:
If the trip you initially wanted is full we highly suggest you join that trips waiting list. Trip Preference choose one Cycling - $395 Climbing - $395 Backpacking- $395 Canoeing -$395 Kayaking - $550 Alternate trip choice choose one I do not wish to go on any of the other trips. Cycling Rock Climbing Backpacking Kayaking Canoeing Today's Date Payment - please select your payment option I'll be sending in my $100 non refundable deposit. Payment Option choose one Place the remainding balance on the Fall 12 Student Bill I will be paying the remainder with cash or check prior to the start of the program Make check payable to: UW-L First Flight Send check to: UW-L First Flight 1725 State St. 219 Mitchell Hall La Crosse, WI 54601
