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Wilderness Survival
An Alaskans Afield Event

JUNEAU —

Location and Time: JHESC, Saturday, August 16, 10am-1pm

Documents: Workshop Description (Image file 334 kB)

Please fill out the following registration form CAREFULLY. After you press submit a Alaskans Afield coordinator will contact you via email with a payment link within 72 hours to confirm your spot in the class.

COST: $20 PER PERSON

SEATS REMAINING: 4 / 12

If you're a human, leave me blank

Step 1
Participant Information
* = Required

Name and contact information of the person participating

Name *

Address *

City/State/Zip *

Phone *

Email *

Date of Birth *

Step 2
Emergency Information

Emergency contact

Emergency Contact Name *

Emergency Contact Phone Number *

Relationship to Participant *

Special needs and requirements

If you have any medical conditions, allergies, please explain

Step 3
Release Forms

Read carefully

All participants over 18 years old and legal guardians of youth participants must sign a release consenting to medical treatment, acknowledging risks, and waiving and relinquishing all claims which may accrue on account of participation in these sessions. Participants and guardians who present for a session without a signed release will be asked to sign one at the class. Alternatively, participants and guardians may download the release form, print it, sign it and bring it to the session(s) already filled out and signed.

Download Participant/Legal Guardian Release Form (PDF 187 kB)

By checking this box*, an act that constitutes an electronic signature, I hereby assume full risk for myself or as the parent/guardian of the above-named participant (if participant is under 18 years of age) for all Alaskans Afield activities, and waive and relinquish all claims as described in the paragraph directly above.

Photo / Model Release

By checking this box, I give the Outdoor Heritage Foundation and the Alaska Department of Fish and Game permission to use my or the above-named participant's (if participant is under 18 years of age) photograph for informational or educational purposes without incurring any debts or liabilities of any kind.

Step 4
Refund Policy

When you click "Submit Registration" you are agreeing to these terms. If you cancel more than 1 day prior to the class you will receive a full refund. If you cancel less than 1 day prior to the class or do not show, no refund will be issued.

Step 5
Submit Registration

Click "Submit Registration" to submit your application. Classes are filled in the order in which registration is received. Enrollment confirmation will be sent via email including the amount owed if applicable. When a class is full, we will add names to a waiting list and notify individuals if space should become available.

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Alaska Department of Fish and Game

Wilderness Survival An Alaskans Afield Event

Step 1 Participant Information* = Required

Name and contact information of the person participating

Step 2 Emergency Information

Emergency contact

Special needs and requirements

Step 3 Release Forms

Read carefully

Photo / Model Release

Step 4 Refund Policy

Step 5 Submit Registration

Wilderness Survival
An Alaskans Afield Event

Step 1
Participant Information
* = Required

Step 2
Emergency Information

Step 3
Release Forms

Step 4
Refund Policy

Step 5
Submit Registration