Gap Year & Semester Enrollment Application

Page 1

Please have your medical history and background information ready!
This form will take about 10-15 minutes to complete.












Participant Details






Which course are you applying for?

Where Heard?






Passport & Visa

All persons arriving in Costa Rica are required to show:

  1. A roundtrip/outbound ticket with a departing flight no more than 90 days after your arrival.
  2. A valid passport with an expiration date 6 months after your date of departure. (For example, departing Costa Rica June 30, 2021-passport must be valid until at least December 31, 2021.)
European, British, Canadian, and United States citizens are eligible for a 90 day tourist visa upon entry to Costa Rica. This is a free renewable Visa and will be issued when the participant arrives in Costa Rica. If you have any questions about visas, please visit your country's embassy website for Visa requirements, restrictions, and prices.


If you answered no, as soon as you receive your new passport please send a photo or scanned copy to our team at Semester@OutwardBoundCR.org.



COVID-19 Vaccination Status

We encourage everyone to be fully vaccinated before the start of our programs (all of our staff are fully vaccinated!), but not required to at this time. Be aware that vaccine requirements may change in the future.



Required: Emergency Contact Information

**This MUST be an immediate family memberpreferably a parent/guardian













**This MUST be an immediate family memberpreferably a parent/guardian



















Family Relation Notes

Page 2

It is of the utmost importance that you disclose all information in as much detail as possible (medication, symptoms, diagnoses, counseling, dietary restrictions, allergies). If it is discovered that a student has withheld details about their mental, psychological or physical health, then they risk losing their place on course. Your medical and personal history will remain confidential and will only be used to help us create a safe, healthy, and supportive environment for you on course, it does not at all affect our admissions process.

If there is more detail you'd like to provide after submission, please give us a call at 1 (800) 676-2018 or via email at Semester@OutwardBoundCR.org.
Lifestyle Information





Lifestyle Information 2
















Please include measurements (e.g. 140 lbs OR 64 kg)

Please include measurements (e.g. 5'7" OR 1.7 m)

Medications
























Medical History
















































































It is of the utmost importance that you disclose all information in as much detail as possible (medication, symptoms, diagnoses, counseling, dietary restrictions, allergies). Your medical and personal history will only be used to help us create a safe, healthy, and supportive environment for you on course, and does not at all affect our admissions process.

If there is more detail you'd like to provide after submission, please give us a call at 1 (800) 676-2018 or via email at Semester@OutwardBoundCR.org.

Page 3

Code of Conduct

I will:
  • Respect the places and the people with whom I come in contact on my course
  • Not bring, purchase or use alcohol, tobacco products or illegal drugs during any portion of course
  • Not engage in any conversation topics or actions that knowingly intimidate, exclude, or alienate other members of my group
  • Be responsible for my personal belongings and equipment and will not hold OBCR or my instructors responsible for their loss or damage due to my negligence or neglect
  • Treat all equipment provided by OBCR with care
  • Refrain from use of harmful or abusive language while on course
  • Be an active participant on my course and will do my best to engage in new activities, work as part of a group and follow instructions
  • Obey all policies and safety guidelines established by my instructors
  • Not engage in or display any exclusive relationships; no kissing; no romantic interest, no engaging in any sexual or romantic activity, and not exclusively spending time with another person. This applies equally to same sex and opposite sex individuals
  • Never display any aggressive behavior toward anyone in my group or my instructors



Terms of Service



Media Release