Application – Upper Canyon Outreach

Thanks for your interest in programs at UCO. After you have filled this form out, you will be contacted by Cassie Ubaldo to confirm a placement in the course. Upon your arrival at the course you will be asked to sign a liability waiver for Upper Canyon Outfitters.

Name

First Last

Phone

City you will be traveling to UCO from

Any dietary restrictions or allergies

Any pertinent medical issues the instructors should know about

Emergency Contact Name and Phone Number

Please briefly explain any horse experience you may have

What would you like to get out of this course

Do you have proof of deployment

Yes

If xsports has already determined your eligibility you do not have to do this again. Showing us that you have a DD214 is efficient. We do not need/want a copy of this for our files.