| Student Information |
| Student's first name (*): | |
| Student's last name (*): | |
| Gender (*): | Male
Female |
| Student's email (*): | |
| Retype student's email (must match above) (*): | |
| Date (YYYY-MM-DD) of birth (*): | |
| Grade completed (*): | |
| Address line 1 (*): | |
| Address line 2: | |
| City (*): | |
| State/Province (*): | |
| Zip/Postal Code (*): | |
| Parent/Guardian Information |
| Parent's first name (*): | |
| Parent's last name (*): | |
| Parent's email (*): | |
| Retype parent's email (must match above) (*): | |
| Address line 1 (*): | |
| Address line 2: | |
| City (*): | |
| State/Province (*): | |
| Zip/Postal Code (*): | |
| Telephone (*): | |
| How did you hear about Boojum: | |
| Refer a friend! If they enroll, you will receive a $25 discount for your course. |
| Friend's name: | |
| Address: | |
| City/State/Zip: | |
| Telephone: | |
| Email: | |
| Payment Information |
| A $200 deposit is required by payment on-line or by check within 7 days to confirm your reservation. Full payment of tuition is due 30 days prior to the start of the program. |
| Payment option (*): | Check or Moneyorder
Credit Card |
| Check if you are a Boojum Alumni: | Yes |
| If an alumni, enter year and the program: | |
| Terms of Agreement |
- A deposit of $200 is required with the submission of this form or within 7 days in order to reserve your space.
- After your deposit and enrollment form is received, an applicaton packet will be sent to you. We will contact you if the course is full.
- The application packet includes medical form, waivers, travel details, and other necessary course information.
- Packet information and forms must be completed and returned to the Boojum office 30 days prior to the course start date or sooner.
- You will receive an official course confirmation once all information has been received.
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| Important Information |
- REFUND and CANCELLATION POLICY: If you cancel more than 30 days prior to the course start date, Boojum will refund your deposit less an application fee of $100. Cancellations made 30 days or less before a course start date cannot be refunded for any reason. If a student needs to leave a course due to disciplinary reasons, no refund will be given.
- COURSE ALTERATIONS: If Boojum cancels your course, we will refund your payment in full. Boojum reserves the right to change a course's itinerary or location due to weather, wildfire, or matters beyond our control.
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| I, the Parent or Guardian, have read and agree to the "Terms of Agreement" and the "Refund and Cancellation Policy" |
| Type "I AGREE" in uppercase letters: | |
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