The following information will be kept confidential and used only for emergencies and to accommodate the applicant.
Please list any allergies (i.e., medications, food, insects, environmental substances, etc.) that you have.
List any medication that you take that may affect emergency treatment. Be certain to keep such medicines in properly labeled containers while attending the field school.
List any health or medical conditions (physical or mental) that you have and that we should be aware of.