Trip Registration and Online Medical Form

Please indicate the trips you are registering for: (Required)

Please read the ONDA cancelation policy below. You can register for additional trips during the 2008 season at any time via phone or e-mail once you have submitted this form.

March 14-16 Robinson Creek Restoration/tree planting
April 24-27 Sage Grouse Lek Monitoring
May 1-5 Owyhee River Float Trip
May 8-11 John Day River Float and Pull
July 1-6 Steens Fence Pull
July 11-13 Steens Vegetation Monitoring
July 27-31 Hart Mountain Fence Pull
August 5-10 Steens Fence Pull
Sept. 5-7 Sutton Mountain Fence Full
Sept. 9-14 Steens Fence Pull
Oct. 24-26 Robinson Creek Restoration

Your Full address (Required)

Your Home phone number (Please include area code) (Required)

Your Work or Cell Phone Number (Please include area code)

Your Email Address (Required)

Car Pooling:

I would like to have my e-mail address provided to other trip participants to facilitate car-pooling.

Comments (Required)

(previous ONDA trip participant, camping experience, current fitness level, etc.)

Emergency Contact Information: (Required)

In the event of an emergency this is who we will contact. Please provide their: Full mailing address, Relationship to you, Home and Work phone numbers

Medical Insurance Information:

We strongly encourage you to have medical and evacuation insurance and to bring your insurance card or other documentation with you on your trip. Please provide your: Medical insurance company name, company contact phone number, and your policy number

Vitals:

Please provide us with your: Date of birth, resting pulse, blood pressure, height and weight.

Allergies: (Required)

Please list all the food, insects and medications to which you have had an allergic reaction. Please describe your reactions (severity and symptoms) to each, and if you carry an anaphylaxis kit.

Illnesses, Medications and Current Health Status: (Required)

Please check the box next to any of the listed items which apply to you. Additional space is available below to describe any checked items in further detail.

Have you recently been ill?
Had recent accidents, operations or hospitalizations?
Have you ever experienced altitude problems?
Are you currently taking prescription medications?
Are you currently pregnant?
Do you have back, knee or other joint issues?
Do you have limited mobility or balance?
Are you diabetic?
Any additional medical issues we should be aware of?
None of the issues listed above apply to me

Date of Last Tetnus Shot

Additional Medical Information:

Please elaborate on any of the checked items above. The outing may require vigorous exertion, extended hiking and other physically and mentally demanding activities in isolated areas where medical response will be limited at best. Please use this area to state any additional physical limitations or restrictions of which you are aware.

Cancelation Acknowledgement (Required)

I have read and understand the cancellation policy

Your Full Name (Required)

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In this section Join as a Member Volunteer Registration Trip Registration and Online Medical Form Volunteer Photo Album Desert Travel Guide Events Job Opportunities Information for... » Members » Volunteers » Desert Advocates » Visitors & Recreationists » Businesses	Home » Get Involved » Volunteer » Registration » Trip Registration and Online Medical Form Document Actions Trip Registration and Online Medical Form A list of forms needed to register. Thank you for your interest in participating in an ONDA trip. This form will allow you to officially register for ONDA trips (please read ONDA's cancelation policy at the end of this form), and will provide us with pertinent medical and emergency information. We ask for this information so that our trip staff will know in advance, of any special medical conditions you may have. These questions are not used to screen trip participants; however, the leader may contact you to discuss whether the trip(s) you have registered for will be safe and enjoyable for you. This form is confidential, seen only by ONDA trip staff or medical personnel. This form will need to be completed and re-submitted once a year in order to maintain up-to-date records. Required fields are marked with a red square. Please indicate the trips you are registering for: (Required) Please read the ONDA cancelation policy below. You can register for additional trips during the 2008 season at any time via phone or e-mail once you have submitted this form. March 14-16 Robinson Creek Restoration/tree planting April 24-27 Sage Grouse Lek Monitoring May 1-5 Owyhee River Float Trip May 8-11 John Day River Float and Pull July 1-6 Steens Fence Pull July 11-13 Steens Vegetation Monitoring July 27-31 Hart Mountain Fence Pull August 5-10 Steens Fence Pull Sept. 5-7 Sutton Mountain Fence Full Sept. 9-14 Steens Fence Pull Oct. 24-26 Robinson Creek Restoration Your Full address (Required) Your Home phone number (Please include area code) (Required) Your Work or Cell Phone Number (Please include area code) Your Email Address (Required) Car Pooling: I would like to have my e-mail address provided to other trip participants to facilitate car-pooling. Comments (Required) (previous ONDA trip participant, camping experience, current fitness level, etc.) Emergency Contact Information: (Required) In the event of an emergency this is who we will contact. Please provide their: Full mailing address, Relationship to you, Home and Work phone numbers Medical Insurance Information: We strongly encourage you to have medical and evacuation insurance and to bring your insurance card or other documentation with you on your trip. Please provide your: Medical insurance company name, company contact phone number, and your policy number Vitals: Please provide us with your: Date of birth, resting pulse, blood pressure, height and weight. Allergies: (Required) Please list all the food, insects and medications to which you have had an allergic reaction. Please describe your reactions (severity and symptoms) to each, and if you carry an anaphylaxis kit. Illnesses, Medications and Current Health Status: (Required) Please check the box next to any of the listed items which apply to you. Additional space is available below to describe any checked items in further detail. Have you recently been ill? Had recent accidents, operations or hospitalizations? Have you ever experienced altitude problems? Are you currently taking prescription medications? Are you currently pregnant? Do you have back, knee or other joint issues? Do you have limited mobility or balance? Are you diabetic? Any additional medical issues we should be aware of? None of the issues listed above apply to me Date of Last Tetnus Shot Additional Medical Information: Please elaborate on any of the checked items above. The outing may require vigorous exertion, extended hiking and other physically and mentally demanding activities in isolated areas where medical response will be limited at best. Please use this area to state any additional physical limitations or restrictions of which you are aware. Cancelation Acknowledgement (Required) I have read and understand the cancellation policy Your Full Name (Required) ONDA Cancellation Policy The ONDA field trips are a central part of our mission, and these trips are very popular with our membership. Most of the trips fill very quickly, and we create a wait-list in an attempt to accommodate any cancellations. However, last minute cancellations can result in trips that are not filled because there is not enough time to notify members on the wait-list of the opportunity to participate. In addition, cancellations require additional staff time to reconfigure trip logistics, and in certain instances, last minute cancellations can result in a monetary loss to ONDA. Accordingly, ONDA has adopted the following policy on trip cancellations: 1. Trips listed as “free to members”. While there is no monetary cost to members to participate on certain ONDA trips, the organization of these trips requires significant staff time. Because most of these trips involve restoration projects, we want them to be filled in order to maximize our impact on the ground. ONDA recognizes that summer is a busy time, and that life is filled with unplanned events. However, unless there are exceptional circumstances, ONDA will strongly encourage members who are canceling within 15 days of a “free” trip to donate $25 to help offset costs of filling vacant spots, and to help us continue to provide this service to our members. 2. Fee based trips. ONDA offers several fee-based trips every year. Should the trip be cancelled by ONDA or the 3rd party outfitter because of unsafe river conditions, inadequate bookings or for any other reason, all payments made to ONDA will be refunded in whole. Because these trips are pre-paid in full by ONDA, if a member cancels a reservation, the following rules shall apply: a. ONDA will return a full refund for cancellations made more than 30 days before the start of a trip. b. ONDA will return a 90% refund for cancellations made between 30 days and 15 days before the start of a trip, PROVIDED that ONDA is able to fill that spot. Should ONDA be unable to fill the spot, no refund will be made. c. There will be NO refund for cancellation made after 15 days before the start of the trip or for “no shows”. At any time up to 3 days prior to the start of a trip, a member may propose a substitute participant for his or her place on a trip. ONDA will not charge a substitution fee, but ONDA reserves the right to accept or reject the proposed substitution. The original registrant will be responsible for any outstanding payments still due on the trip, and the original registrant will be solely responsible for collecting any reimbursement of fees paid from the substituted participant.

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