Mountain Quest Young Women 2025
July 10 - July 30, 2025
AGES: 12 - 14
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TRANSLATE THIS FORM: Español, Português, Tiếng Việt, Tagalog, Kreyòl ayisyen
FOR WHOM?
I AM A PARENT OR GUARDIAN
REGISTERING A NEW CHILD/MINOR TO PARTICIPATE
I AM A RETURNING PARENT OR GUARDIAN:
OUR FAMILY or HOUSEHOLD HAS REGISTERED FOR OTHER PROGRAM ACTIVITIES WITHIN THE PAST 3 YEARS
YOUR (PARENT/GUARDIAN) NAME:
YOUR (PARENT/GUARDIAN) CONTACT INFORMATION:
NAME:
(not parent)
CONTACT INFORMATION:
(OPTIONAL)
BIRTHDATE:
Please enter a valid birthdate here...
GENDER:
Please enter a gender information here...
use button or write in anything!
Male
Female
Non-Binary
PRONOUNS:
use button or write in anything!
He/Him/His
She/Her/Hers
They/Them/Theirs
LANGUAGE:
(only if not English)
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HOUSEHOLD/FAMILY DETAILS:
PARTICIPANT MAILING ADDRESS:
* ONLY IF OUTSIDE OF USA
YOU MAY ENTER ONE OR TWO RELATED ADULTS
WHO LIVE or WORK AT THIS ADDRESS:
ADULT #1
(optional)
parent, step-parent, guardian, spouse, etc.
(optional)
ADULT #2
(optional)
parent, step-parent,
guardian, spouse, etc.
(optional)
I WANT TO INCLUDE ANOTHER ADULT/PARENT/GUARDIAN AT A DIFFERENT ADDRESS
OTHER ADULT
(optional)
parent, step-parent, guardian, spouse, etc.
(optional)
OTHER MAILING ADDRESS:
* ONLY IF OUTSIDE OF USA
SUBMIT ADULT CONTACT INFORMATION
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PERSONAL INTRODUCTION
TELL US ABOUT YOURSELF:
TELL US ABOUT YOUR CHILD:
What specifically interests you in this program?
What other interests / hobbies / activities do you enjoy?
What specifically interests your child in this program?
What other interests / hobbies / activities do they currently enjoy?
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HOW DID YOU FIND US?
Please help us understand
which of our marketing efforts are most effective
by checking the factor or factors
that most influenced your decision to register!
WORD-OF-MOUTH:
A friend or family member told me about it
WEB:
I searched for something on the internet and found your website
SOCIAL-MEDIA:
I saw something on social media: Instagram, Facebook, etc.
EMAIL:
I received a marketing email or e-newsletter from you
BROCHURE:
I received or read a printed brochure or program catalog
POSTER:
I saw a poster on a bulletin board
PRINT:
I saw a printed advertisement or article in a newspaper or magazine
ADVISOR:
A school counselor, advisor, or paid consultant recommended it to me
ENCOUNTER:
I randomly encountered your staff or students while we were out in the world
EVENT:
I found your table or display at a school, fair, or other public event
MYSTERY:
A mysterious force has led me here; I cannot explain it
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IMPORTANT DETAILS:
DIET:
NONE
Please describe any special dietary restrictions, and indicate whether they result from personal preference, religious custom, or medical necessity.
ALLERGIES:
NONE
Any ALLERGIES?
To foods? To medications? To insect stings or other environmental agents?
If so, please explain the symptoms and the severity of these allergies: ( MILD DISCOMFORT or SEVERE LIFE THREATENING ANAPHYLAXIS )
MEDICATIONS:
NONE
Any regular MEDICATIONS? If so, please list the medications, their dosage and frequency, and their purpose. This information may be used to administer medications during a program, but more importantly it will help medical professionals in the event of an emergency.
CONCERNS:
NONE
Tell us any concerns you may have about participation in our programs: Any
injuries or physical limitations
, or any
emotional, behavioral, or mental health issues
, any
sleep issues
,
substance abuse
, history of
infections
, or anything else that you can let us know in advance to help our staff to make the program safe and enjoyable for everyone.
Please note: failure to disclose significant medical or learning issues undermines our work and the safety of our programs, and we reserve the right to dismiss any participant who arrives with undisclosed conditions.
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Please select the Full tuition option if you are planning on making a payment now. On the following screen, you will have the option to pay the full amount or a deposit. If you plan to pay in installments, please pay the deposit and contact registrar@riteofpassagejourneys.org to make a payment plan. You need to pay a deposit to hold your spot, even if you are applying for Financial Aid. If you are applying for Financial Aid please make as close to the full deposit amount as is possible for you and your family at this time.
$3,495.00
TUITION
$0.00
TUITION Z-FINANCIAL-AID
Choose this option to apply for financial aid. You will receive a link to our financial aid application and a link to pay a deposit in an email following registration. We ask that families applying for financial aid submit a deposit in any amount that currently works for your family. We do not reserve a spot without a deposit.
SHOPPING CART
ADJUST QUANTITIES:
ITEM
QUANTITY
SUBTOTAL
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ALMOST DONE, KEEP GOING!
PLEASE COMPLETE THIS VALIDATION:
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