2025 Summer Courses Enrollment Application

All 2025 Summer Courses are ready for sign up below!

Please have your medical history and background information ready!

This form will take about 10-15 minutes to complete.

Age Range

What is the age range of the participant? (For corresponding courses to appear below)

Teen (Ages 14-16)

Teen (Ages 16-18)

Select Your Dates

2 WEEKS: Scuba, Sea Turtles, Service & Sloths

PLEASE CHECK THAT YOU SELECTED ONLY ONE COURSE DATE ABOVE

Passport & Visa

All persons arriving in Costa Rica are required to show:

A roundtrip/outbound ticket with a departing flight no more than 180 days after your arrival.
A valid passport with an expiration date 6 months after your date of departure. (Departing Costa Rica June 30, 2025-passport must be valid until at least December 31, 2025.)

European, British, Canadian, and United States citizens are eligible for a 180 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.

Does the participant have a valid passport?

YesNoIf the participant does not currently have a passport, please email our team at enrollment@outwardboundcr.org as soon as you have the participant's passport number and issuing country available.

Issuing Country

Passport Number

Passport Expiration Date (MM/DD/YYYY)

Is the participant under 18?

Yes

No

NOTE

**You MUST indicate your parents/guardians in the emergency contact section below.**

NOTE

**It is HIGHLY preferred to indicate parents/guardians in the emergency contact section below.**

COVID-19 Vaccination Status

We encourage everyone to be fully vaccinated before the start of our programs (all of our staff are fully vaccinated!).

Please indicate your vaccine status below:

I am fully vaccinatedI will be fully vaccinated at least 14 days prior to programI will not be getting vaccinated

Required: Emergency Contact Information

Primary Emergency Contact

Full Name

Relationship

Email

Mobile Phone

Home Phone

Work Phone

Street

Town/City

State/Region

Zip/Post Code

Country

Secondary Emergency Contact

Full Name

Relationship

Email

Mobile Phone

Home Phone

Work Phone

Street

Town/City

State/Region

Zip/Post Code

Country

Tertiary Emergency Contact

Full Name

Relationship

Email

Mobile Phone

Home Phone

Work Phone

Family Relation Notes

Are there any family relations we should be aware of if we need to be in touch with your emergency contact(s)? If yes, please elaborate below.

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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 profanity and 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

I acknowledge that I understand that my attitude and behavior are critical to the success of this course. For the good of this course, myself, and my fellow group members, I agree to abide by the Code of Conduct as described above. I understand that if I break one of these rules, I am subject to termination of course without refund.

I Agree

Terms of Service

Please read and acknowledge our Terms of Service.

I have read and understood the Terms of Service regarding the release of liability, assumption of risk and immunization waiver and agree to it of my own free will and without reservation.

Yes

Media Release

I grant to Outward Bound Costa Rica (OBCR) the right to use my image and name in all forms and media including social media, marketing materials, website and additional assets. I waive the right to approve versions of my image used or the written copy that may used in connection with the images.

YesNo

Signatures

I certify the information I provided on this form is true and correct. I agree to Outward Bound Costa Rica's Terms of Service and Code of Conduct and acknowledge my accordance by signing and dating the Enrollment Form electronically.

I Agree

Participant's Name

Participant's Electronic Signature

Are you under 18?

Yes

No

Parent or Guardian's Name

Parent or Guardian's Electronic Signature

Wilderness First Responder	Whitewater Rescue Technician
Technical Rope Rescue Operations	Scuba Diving
Rafting Guide	First Aid
CPR

Medication 1 Medication 1 Name Dosage Side Effects Special Requirements Reason for Medication	Medication 2 Medication 2 Name Dosage Side Effects Special Requirements Reason for Medication
Medication 3 Medication 3 Name Dosage Side Effects Special Requirements Reason for Medication	Medication 4 Medication 4 Name Dosage Side Effects Special Requirements Reason for Medication

ADD/ADHD	Anxiety	Depression
Panic Attacks	Additional Mental Health Symptoms/Diagnoses	Learning Disability
Autism	Kidney Problems	Thyroid Problems
Endocrine Problems	Hearing Impairment	Vision Impairment
Dental Problems	Intestinal Problems	Stomach Ulcers
Skin Problems	Head Injury	Broken Bones
Neck Problems	Back Problems	Arm Problems
Shoulder Problems	Knee Problems	Ankle Problems
Leg Problems	Foot Problems	Circulation Problems
Bleeding Disorder	Anemia	Jaundice
Hypoglycemia	Diabetes	High Blood Pressure
Heart Disease	Heart Murmur	Heart Palpitations
Irregular Heartbeat	Heartburn	Chest Pain
Asthma	Frequent Shortness of Breath	Frequent Dizziness
Sensitive to High Elevations	Motion Sickness	Intolerant to Cold Temps
Intolerant to Warm Temps	Heatstroke	Tuberculosis or Positive TB test
Active Hepatitis	History of Hepatitis	Use of Medical Equipment
Seizure(s)	Epilepsy	Cancer
Muscle Cramps	Menstrual Problems and/or PMS	Bladder Infection
Difficulty Urinating	Unexplained Sweating	Obesity
Currently Pregnant	Active Bedwetting	Anorexia Nervosa
Bulimia	Headaches	Frost Bite
Any Other Conditions

2025 Summer Courses Enrollment Application

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