Thank you for applying to the ELS Leadership School. In addition to this application, you will need to fill out a Medical Insurance form, a Medical History Form, and an Indemnification Form. If the applicant is accepted, you will also need to submit a contract (which will be e-mailed to you). 

Which of our 2014 Summer Courses would you prefer?
If your first option is not available,do you have a second option?
Name of Applicant *
Name of Applicant
Include any nickname in the first field.
Address *
Address
Gender *
Date of Birth *
Date of Birth
Father's (or Legal Guardian's) Name *
Father's (or Legal Guardian's) Name
Father's Address (If different from applicant)
Father's Address (If different from applicant)
Mother's Name *
Mother's Name
Mother's Address (if different from applicant) *
Mother's Address (if different from applicant)
Whom should we contact in case of emergency? *
Please give the names and coordinates of any other parties who should be notified. Please include names, telephone numbers, and e-mail addresses.
DECLARATION: (We/I) confirm that, to the best of our/my knowledge, the information provided is complete and accurate. (We/I) also understand that sailing and hiking come with certain risks and that, accordingly, we/I will be willing to sign an indemnity as part of a contract.
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