Outdoor Learning Lab Course Registration

If you register 10 days prior to the start of the course, we cannot guarantee you a spot. All programs are subject to a minimum and maximum number of participants.

Please complete a separate registration below for each camper.

Child Information
Child Name*
First Last
Child Date of Birth*
MM
DD
YYYY
Which device will your child use?*
- Laptop
- Tablet
- Phone
- Other
Some course activities require markers, scissors, tape, and pencils. Does your child have access to these materials during course time?*
- Yes
- No
Address for Kit Delivery/Drop Off*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Courses
Outdoor Learning Lab
Course Selection:
Note that all courses last for three weeks starting on the date listed
- Environmental STEM course | Mondays from 4:30-5:30pm starting April 8
Total
$0.00

Section Break
Parent/Guardian Name*
First Last
Parent/Guardian Email*
Parent/Guardian Phone*
Best time to call if needed*
- Morning
- Aftenoon
- Evening
Emergency Contact Name*
First Last
Emergency Contact Phone*
How did you hear about Venture Outdoors' Youth Virtual Programs?
- Social Media
- Venture Outdoors Website
- Newsletter
- Family or friend
- Other
Other way you heard about Venture Outdoors' Virtual Youth Courses

Parental Consent
In order for Venture Outdoors to continue to provide your student with the most effective tools to ensure we are meeting our mission of providing access to outdoor experiences, Venture Outdoors staff may use educational web-based services and applications such as Zoom, Teams, Instagram, Flipgrid, etc. Many of the Terms of Service and/or Privacy Policies of these applications state that, due to Federal Law, children must obtain parental permission to use their sites and often require an email address or other personal identifier information.
Parent/Guardian Acknowledgement*
I understand that by signing this permission slip, I, a parent/guardian, have read and reviewed the following:
- I acknowledge the virtual learning that Venture Outdoors plans to utilize and give my child permission to participate in session.
- I recognize that this form will constitute consent for students and youth to use these education, web-based applications.
- I acknowledge that my child will be held accountable to the same set of behavior expectations as in-person learning. See Virtual Code of Conduct for more information.
- I understand that my child may be removed from Virtual Learning if unacceptable behavior is displayed.
I agree to these statements.
Photo Release*
I hereby grant full permission for Venture Outdoors and their respective agents, boards, commissions, and any other involved parties of the foregoing to take and use photographs, video, film, or any other record of this activity, including name, likeness, and/or voice for any legitimate purpose, inducing advertising display, audiovisual presentations, or otherwise. I waive any right of privacy, publicity, compensation, copyright or other rights to those images.
I agree to the photo release
Youth Acknowledgement*
By signing this permission slip, I, a parent/guardian, have read and reviewed the following with the youth listed above.
- My child is aware that by signing this form electronically, I give them permission to participate in Venture Outdoors Virtual Learning.
- My child understands that if their behavior choices are not appropriate, they may be asked to leave the program. See Virtual Code of Conduct for more information.
I agree to the privacy policy.
Signature*

Delivery Details and Payment
Toolkit Delivery or Pickup*
The Activity toolkit can be either shipped, delivered or a pick-up coordinated. Please indicate that you understand that there may be an additional postage or delivery charge if you live 10 miles outside of Pittsburgh city limits.
Questions? Contact Kelly@ventureoutdoors.org or 412.255.0546 x 227 to find out more.
I understand
Total
$0.00
When you click "Proceed to Payment," you will be directed to a separate page. After you complete the payment, you'll be returned to the Venture Outdoors site.

Outdoor Learning Lab Course Registration

Spring 2021 Course Registration

Step 1 of 4

Child Information

Courses

Section Break

Parental Consent

Delivery Details and Payment