Fall Lopez 2026

1
Participant Full Name* This field is required.
First Name
Last Name
2
Participant E-mail* This field is required.
example@example.com
3
Participant Phone Number* This field is required.
4
What School Do You Attend?* This field is required.
5
Select Your Grade* This field is required.
Please Select
Please Select
Freshman
Sophomore
Junior
Senior
6
Parent/Guardian Name* This field is required.
First Name
Last Name
7
Parent/Guardian Phone Number* This field is required.
8
Parent/Guardian E-mail* This field is required.
example@example.com
9
Do you need Gear?* This field is required.It's important that you have EVERY gear item on the packing list to stay safe, warm, and dry, and have tons of fun on the trip. If you have any questions contact the gear managers, Nour and Parker, at gear@post84.org. If you need gear, fill out the Gear Request Form. Link to packing list here.
I have requested all the gear that I need for this trip
10
Do you have a bike to bring on this trip?* This field is required.
Yes
No, and I requested one on the Gear Request Form (previous question)
Yes, and I can bring an extra for another camper!
11
Which session do you prefer?* This field is required.
Session 1: October 2-4
Session 2: October 9-11
Either/or
12
Please list any dietary restrictions we should know* This field is required.
13
Rate your camping experience level* This field is required.(Any answer is okay!!!!)
Please Select
Please Select
New to Camping! (first time ever)
Beginner Camper (been a few times before)
Regular Camper (been many times before)
14
Rate your kayaking experience.
Please Select
New to kayaking (never been before)
beginner kayaker ( been a few times)
regular kayaker (go kayaking often)
15
Rate your biking experience level* This field is required.(Any answer is okay!!!!)
Please Select
Please Select
New to biking! (first time ever)
Beginner biker (been a few times before)
Regular biker (been many times before)
16
Tent Buddies* This field is required.If you are signing up for this trip with any friends that you know you want to share a tent with, please list their full names below. No worries if you don't have anyone in mind, we can arrange tent groups later.
17
Please list your pronouns* This field is required.
18
Please describe your racial identity* This field is required.This information helps us track important data for program purposes only. If you prefer not to answer please write "N/A".
19
What is your current involvement with POST 84?* This field is required.This information is in an effort to reduce the number of times people get waitlisted for trips and prioritize people who have never been on a POST trip. For clarification: How many times have you been waitlisted in the past YEAR and did not end up getting to go on the trip you signed up for (if you got waitlisted but then were moved off the waitlist, that would not apply). Please complete this information honestly.
Please Select
Please Select
This would be my first POST 84 trip
Attended 1-2 trips
Attended more than 2 trips
How many trips have you attended?
Please Select
Please Select
No - this is my first time signing up
No - I've gotten on all trips I signed up for
Yes, waitlisted once
Yes, waitlisted twice
Yes, waitlisted three or more times
Number of times waitlisted (past year) and didn't get on
20
Behavioral Contract* This field is required.Please read the full Behavioral Contract EXCERPT: POST Hard No's are as follows, if these acts are perpetrated the student will be removed from the trip : 1. Sexual intercourse 2. Drug use 3. Alcohol consumption 4. Physical violence of any form 5. Sexual harassment 6. Hate speech 7. Purposeful damaging of other people’s property (including damage from bodily excretions) 8. Stealing
21
Fall Lopez* This field is required.*Payment does not guarantee admission on trip; a refund will be issued shortly after the trip if you are not selected to attend. We offer a sliding scale payment option ranging from providing full trip price + donation to a full scholarship option. Note that if signing up with a full scholarship, you will need to pay a $20 deposit that will get refunded after the trip if you attend. If you drop out within 3 days of the trip, this deposit will not get refunded.
prevnext( X )
My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Select Payment amount
Choose the amount you can pay for this trip
Edit
Back
Full Trip Price + a Full Scholarship
Full Trip Price + a Full Scholarship
Full Trip Price + Half a Scholarship
Full Trip Price
I can pay 75%
I can pay 50%
I can pay 25%
Full Scholarship
*A $20 deposit is required for full scholarships
Total cost
Debit or Credit Card
First Name
Last Name
22
I have read and agree to all terms & conditions listed below.* This field is required.As a parent or legal guardian of the previously-named participant, or for myself if I am over 18, I give permission for my child to attend and participate in the activities sponsored by POST. (If signing for myself as a legal adult, “child” in this document refers to me.) I acknowledge that this activity entails known and unanticipated risks that could result in physical or emotional injury, paralysis, or death to my child, as well as damage to property, or to third parties. I understand that such risks cannot be eliminated without jeopardizing the essential qualities of the activity. I assume the risk and financial responsibility for any injury, illness, or liability resulting from my child’s participation. I waive any claims against and agree to hold harmless and not sue, POST, POST staff, POST Executive Committee, POST chaperones, related parties, or other organizations associated with sponsoring the activity from any and all claims or liability arising out of my child’s participation. I have been made aware of the trip itinerary and give permission for my child or ward to ride in any vehicle designated by the staff of POST while attending or participating in activities sponsored by POST. I consent to the use of any video images, photographs, audio recordings, or any other visual or audio reproduction that may be taken of my child while participating in activities sponsored by POST, to be used, distributed, or shown as POST sees fit. I certify that my child has no medical or physical conditions that could interfere with his/her safety in this activity, or else I am willing to assume and bear the costs of all risks that may be created, directly or indirectly, by any such condition. In case of an emergency involving my child, I understand every effort will be made to contact me (or emergency contact provided). In the event I cannot be reached, I authorize a qualified physician/surgeon selected by the adult leader in charge to examine and in the event of injury or serious illness administer emergency care to the above named-participant which may include hospitalization, anesthesia, surgery, or injections of medication for my child. I understand every reasonable effort will be made to contact me to explain the nature of the incident prior to any involved treatment. In the event it becomes necessary for POST chaperones, EC, or staff to obtain emergency care for my student, I agree that neither POST nor any of its personnel assumes financial liability for expenses incurred because of the accident, injury, or illness.
I agree
23
Print Name of Participant* This field is required.
24
Signature of Participant* This field is required.
25
Date of Signature* This field is required.
Date
Year
Month
Day
26
Print Name of Parent/Guardian* This field is required.If over 18 and signing for yourself as a legal adult, you can write N/A
27
Signature of Parent/Guardian* This field is required.If over 18 and signing for yourself as a legal adult, you can write N/A
28
Date of Signature
Date
Year
Month
Day
Should be Empty: