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Bookbinding and Boats
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Please list any medical conditions you have and any medications and amounts you are currently taking *

Are there any physical or medical conditions that would effect your ability to ability to row or sail or participate fully? *

What is your heigh and weight? *

Please list any dietary restrictions or needs: *

Please list any conditions or pertinent medical history not covered above: *

Please list how you treat and care for your physical and emotional health care needs: *

Please list any allergies you have to food, plants, and/or insect bites and stings? *

Do you use an epinephrine injector? *

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Do you use an asthma inhaler? *

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What do you hope to gain from this experience? *

How did you find out about Atlantic Challenge? *

Payment Information. Please select your sliding scale tuition rate based on your total annual household income(s). *

Annual household income up to $29,000 – Tuition: $300 $30,000 - $49,000 - Tuition: $375 $50,000 - $99,000 - Tuition: $500 $100,000 - $184,000 - Tuition: $625 $185,000 or more - Tuition: $700 Will submit application for financial aid

Thank you! There is a $100 deposit required now to hold your spot. We'll be in touch soon to ask you any follow up questions, and to let you know the status of your acceptance to this program and how to proceed with getting on our insurance (an additional $25 fee which covers any and all Atlantic Challenge program activities you are apart of for a year). Do you have any questions at this time? *

Bookbinding and BoatsRegistration

Bookbinding and Boats
Registration