Registration

Boundary Waters Canoe Trip

Grades 9-12

Wilderness Canoe Base--Grand Marais, MN

July 7-13, 2019

Participant Information

First Name *

Last Name *

Gender *

Birth Date *

Grade *

Household / Adult Primary Contact

Relationship to Participant: *

Mother

Father

Guardian

Other Other

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Primary Phone *

Alternate Phone

Email Address *

Payment information

Please pay deposit by Jan. 31st to reserve early bird spot. After this date, the total cost of the trip will go up.

Early Bird deposit is $100
* If you choose to pay in person, via cash or check, please enter "0"
* All major credit/debit cards accepted.
* After entering your total, hit "Continue" below. You will be redirected to PayPal to process your transaction (You do not need a PayPal account to pay!).

Enter Fee amount: *